ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
Ordered: Morphine sulfate 12 mg IM Available: Morphine sulfate 15 mg/mL How many mL will you administer?
Correct Answer: 0.8
Rationale: Volume = dose/concentration: 12 mg ÷ 15 mg/mL = 0.8 mL.
Question 2 of 5
A nurse applies padded boots to maintain the foot in dorsiflexion to a client who is comatose. The nurse is protecting the client from:
Correct Answer: B
Rationale: Applying padded boots for dorsiflexion helps prevent foot drop a condition where the foot is permanently in a plantar-flexed position which can lead to contractures. Decubitus ulcers require pressure relief pooling of blood is managed with positioning or compression and blood pressure changes are unrelated to dorsiflexion.
Question 3 of 5
A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?
Correct Answer: A
Rationale: Overflow incontinence involves constant leakage and a distended bladder due to incomplete emptying. Reflex is neurologic stress occurs with pressure and urge involves sudden voiding.
Question 4 of 5
Upon assessment of the urine in a client's indwelling urinary catheter drain bag,the nurse notes the urine to be dark yellow. Which next step should the nurse implement?
Correct Answer: A
Rationale: Dark yellow urine suggests concentrated urine likely from dehydration so encouraging fluid intake is appropriate. Reducing intake worsens dehydration dark yellow alone doesn’t indicate infection and action is needed.
Question 5 of 5
A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lowering the client to the floor reduces fall distance and injury risk. Leaning toward the wall narrow stance or arm support are insufficient to prevent injury during a fall.