ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Questions 59

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ATI RN Test Bank

ATI RN Fundamentals Online Practice 2023 B Questions

Extract:


Question 1 of 5

The client was admitted with a productive cough with thick yellow sputum.Breath sounds with crackles were heard in the left upper lobe and decreased breath sounds at bases bilaterally. What is the client’s temperature?

Correct Answer: C

Rationale: The correct answer is C: 38.5°C. A temperature of 38.5°C indicates a fever, which is commonly associated with respiratory infections like pneumonia. The client's symptoms of productive cough with thick yellow sputum, crackles in the left upper lobe, and decreased breath sounds at the bases suggest a lower respiratory tract infection. Fever is a common sign of infection as the body raises its temperature to fight off pathogens.

Choices A and B are within normal range, making them less likely given the presenting symptoms.
Choice D is too high for a typical fever associated with a respiratory infection.

Extract:

A nurse is about to administer an injection of an opioid medication to a patient. The nurse has drawn 1 mL of the medication from a 2 mL vial.


Question 2 of 5

What should the nurse do next?

Correct Answer: A

Rationale: The correct answer is A because asking another nurse to observe the medication wastage ensures accuracy and accountability. This step promotes safe medication practices by having a second set of eyes to verify the process.
Choice B is incorrect because notifying the pharmacy is not necessary at this point.
Choice C may not be appropriate if the medication needs to be documented and witnessed.
Choice D is incorrect as the medication should be wasted properly following protocol.

Extract:


Question 3 of 5

The client was admitted with a productive cough with thick yellow sputum.Breath sounds with crackles were heard in the left upper lobe and decreased breath sounds at bases bilaterally. What is the client’s temperature?

Correct Answer: C

Rationale: The correct answer is C: 38.5°C. A temperature of 38.5°C indicates a fever, which is commonly associated with respiratory infections like pneumonia. The client's symptoms of productive cough with thick yellow sputum, crackles in the left upper lobe, and decreased breath sounds at the bases suggest a lower respiratory tract infection. Fever is a common sign of infection as the body raises its temperature to fight off pathogens.

Choices A and B are within normal range, making them less likely given the presenting symptoms.
Choice D is too high for a typical fever associated with a respiratory infection.

Extract:

A nurse is examining a patient’s medication prescription which states, “digoxin 0.25 by mouth daily.”.


Question 4 of 5

Which component of the prescription should the nurse confirm with the healthcare provider?

Correct Answer: B

Rationale: The nurse should confirm the dosage of the medication with the healthcare provider to ensure the patient receives the correct amount for effectiveness and safety. Dosage directly impacts the therapeutic effect and potential side effects. Confirming the route of administration (
A) is also important but less critical than dosage. Frequency of administration (
C) is typically included with dosage information. Confirming the name of the medication (
D) is important but not as critical as confirming the dosage.

Extract:

A nurse is attending to a patient who is experiencing discomfort.


Question 5 of 5

Which of the following patient statements should the nurse document in the initial pain assessment to describe the quality of the patient's pain?

Correct Answer: A

Rationale: The correct answer is A because it provides specific information about the quality of the pain (dull ache) which helps in identifying the nature of the pain.
Choice B mentions a triggering factor of pain, not its quality.
Choice C describes an associated symptom, not the quality of pain.
Choice D only indicates the intensity of pain, not its quality.

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