ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
The client’s chest x-ray shows lung hyperinflation and left upper lobe pneumonia. What is the most likely diagnosis?
Correct Answer: C
Rationale: The most likely diagnosis is pneumonia (
Choice
C) because the client's chest x-ray shows lung hyperinflation and left upper lobe pneumonia. Lung hyperinflation can result from air trapping in the lungs, commonly seen in pneumonia. Left upper lobe pneumonia typically presents with symptoms such as cough, fever, and chest pain. Tuberculosis (
Choice
A) would typically present with different radiographic findings like cavitary lesions. Bronchitis (
Choice
B) presents with inflammation of the bronchial tubes, not hyperinflation. Asthma (
Choice
D) would show signs of reversible airway obstruction, not hyperinflation.
Extract:
A postoperative client refuses to use an incentive spirometer following major abdominal surgery.
Question 2 of 5
What is the nurse's priority action?
Correct Answer: A
Rationale: The correct answer is A: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority action because understanding the client's refusal will help address any underlying issues hindering compliance with treatment, ensuring optimal care. Documenting the refusal (
B) is important but not as immediate as understanding the root cause. Administering pain medication (
C) may be necessary but addressing the refusal first is crucial. The other choices are not relevant to the immediate priority of addressing the client's refusal.
Extract:
A nurse is caring for a patient in a medical-surgical unit.
The patient’s current diagnoses include type 2 diabetes mellitus and a past medical history of a left below-the-knee amputation 5 years ago.
The nurse is at the patient’s bedside for a dressing change.
The patient’s heart sounds (S1 and S2) are auscultated, with a rate of 76/min. The patient’s respirations are even and regular at 16/min.
The negative pressure wound therapy dressing is removed. Granulation tissue covers the wound bed.
There is slight erythema at the wound edges. The surrounding tissue is warm to touch.
There is no odor present.
The pressure injury is 8.75 cm (3.5 in) in diameter and 2.5 cm (1 in) at the deepest point.
There are two tunnels measuring 5 cm (2 in) and 3 cm (1.2 in). The dressing is reapplied and sealed.
The intermittent pressure setting is at 125 mm Hg. The patient reports pain as a 2 on a scale from 0 to 10 and tolerated the procedure well.
Question 3 of 5
Which of the following findings indicate an improvement in the patient's condition?
Correct Answer: A
Rationale: The correct answer is A because granulation tissue covering the wound bed indicates healing progress by promoting tissue repair and regeneration. This is a positive sign of wound healing.
Choice B, slight erythema at wound edges, can indicate inflammation or infection, not necessarily improvement.
Choice C, warm surrounding tissue, could suggest infection or inflammation, not improvement.
Choice D, pain level 2, is subjective and doesn't directly indicate improvement in the condition.
Extract:
Question 4 of 5
A nurse is conducting a Romberg test as part of a patient’s physical assessment. Which of the following methods should the nurse employ?
Correct Answer: C
Rationale: The correct answer is C: Have the patient stand with their arms at their sides and their feet together. During a Romberg test, the patient is asked to stand with their feet together and arms at their sides to assess their ability to maintain balance with eyes closed. This position challenges the patient's proprioception and vestibular system. This test helps to evaluate the patient's sensory and motor systems, specifically the cerebellum and proprioceptive pathways.
Incorrect choices:
A:
Touch the patient's face with a cotton ball - This does not assess balance or proprioception.
B: Apply a vibrating tuning fork to the patient's forehead - This tests for cranial nerve function, not balance.
D: Perform direct percussion over the area of the kidneys - This is unrelated to the Romberg test and assesses kidney function, not balance.
Question 5 of 5
A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.
Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.
Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.