ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is attending to a patient who is receiving a unit of packed RBCs. The patient’s vital signs at 0800 and 0815 are given.
Heart rate of 110 bpm
Question 1 of 5
Complete the following sentence using the list of options. The patient exhibits symptoms of-------------------------------
Correct Answer: C
Rationale: The correct answer is C: Tachycardia. Tachycardia refers to an abnormally rapid heart rate. In a patient exhibiting symptoms, this could indicate a fast heartbeat, which is a common sign of various medical conditions such as anxiety, heart disease, or hyperthyroidism. Hypertension (
A) is high blood pressure, not related to heart rate. Hypotension (
B) is low blood pressure. Bradycardia (
D) is a slow heart rate. Since the patient exhibits symptoms, tachycardia (
C) is the most relevant choice to describe the rapid heart rate.
Extract:
Question 2 of 5
A nurse is instructing a patient on how to self-administer heparin. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Administer the medication into the abdomen. Heparin is typically administered subcutaneously into the abdomen due to the abundance of subcutaneous tissue in this area, allowing for better absorption of the medication. This site also reduces the risk of hitting underlying muscles or blood vessels. Inserting the needle at a 15-degree angle (choice
A) is not necessary as a 90-degree angle is preferred for subcutaneous injections. Aspirating for blood return (choice
B) is not recommended for subcutaneous injections as it may cause tissue damage. Massaging the site after the injection (choice
D) is contraindicated as it can lead to bruising or hematoma formation.
Question 3 of 5
A nurse is administering an otic medication to an older adult patient. Which of the following actions should the nurse take to ensure the medication reaches the inner ear?
Correct Answer: A
Rationale:
Correct
Answer: A. Gently press on the tragus of the patient's ear.
Rationale: Pressing on the tragus helps straighten the ear canal, allowing better penetration of the medication into the inner ear. This action facilitates proper administration and ensures the medication reaches the target area effectively.
Summary of Incorrect
Choices:
B: Packing cotton deep into the ear canal can obstruct the medication from reaching the inner ear, causing ineffective treatment.
C: Moving the auricle down and back does not aid in directing the medication towards the inner ear and may disrupt the administration process.
D: Tilting the head backward for 5 minutes does not specifically target the inner ear and may not enhance medication delivery to the intended site.
Question 4 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: The correct answer is A because providing oxygen through a tube in the nose is a non-invasive and supportive measure to help the patient breathe easier. It aligns with the patient's wishes to decline resuscitation and focuses on comfort care.
Choice B is incorrect because a living will allows patients to change their wishes at any time.
Choice C is incorrect as inserting a breathing tube may not align with the patient's wishes for comfort-focused care.
Choice D is incorrect as consulting the appointed person should only be done if the patient is unable to make decisions themselves.
Question 5 of 5
A nurse is placing a patient on isolation precautions. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: The correct answer is A and B. Wearing an N95 mask is crucial for airborne precautions to protect the nurse from inhaling infectious particles. Placing a container for soiled linens inside the patient's room prevents contamination of other areas.
Choice C is incorrect because a sterile, water-resistant gown is not necessary for isolation precautions.
Choice D is incorrect as ventilation is not a specific action for isolation precautions.