ATI RN
ATI Fundamentals Exam Special Unit ADN Questions
Extract:
Question 1 of 5
The nurse is preparing to assess the blood pressure of a 3-year-old. How should the nurse proceed?
Correct Answer: A
Rationale: Explain the procedure to the child: Explaining procedures in an age-appropriate manner helps reduce anxiety and increases cooperation. A 3-year-old can understand simple instructions, so explaining what will happen can help them remain calm. Choose the cuff that says 'Child' instead of 'Infant': Blood pressure cuffs should be appropriately sized for accurate readings. A cuff that is too small can result in falsely high readings, while a cuff that is too large can produce falsely low readings. Use the diaphragm portion of the stethoscope to detect Korotkoff sounds: The bell of the stethoscope is best for detecting low-pitched sounds, including Korotkoff sounds. Obtain the reading before the child has a chance to settle down: A child who is upset, crying, or anxious may have an elevated blood pressure reading due to stress. It is best to allow the child to calm down before obtaining an accurate measurement.
Question 2 of 5
A nurse is observing a newly licensed nurse who is performing a focused skin assessment on a client who reports a skin condition. Which of the following questions by the newly licensed nurse requires intervention?
Correct Answer: A
Rationale: Have you had any changes in your diet?': While diet can impact skin health, this question is not the most relevant for an immediate skin assessment. More direct questions about onset, symptoms, and exacerbating factors should be prioritized. 'Does your skin condition keep you awake at night?': Pruritus (itching), pain, or discomfort from a skin condition can disrupt sleep. Asking this helps assess the impact on daily life and quality of sleep. 'How does your skin condition make you feel?': Skin conditions can affect self-esteem and mental health. This question is therapeutic and appropriate to assess emotional impact. 'How do you handle stress?': Many skin conditions, such as eczema and psoriasis, worsen with stress. This question is relevant for identifying triggers.
Question 3 of 5
A nurse participating in a research project associated with pressure ulcers will assess for what predisposing factor that tends to increase the risk for pressure ulcer development?
Correct Answer: C
Rationale: Decreased level of consciousness: Patients with a decreased level of consciousness (e.g., sedated, comatose, or confused patients) are at higher risk for pressure ulcers due to immobility, lack of repositioning, and unawareness of discomfort. Shortness of breath: While respiratory issues can reduce oxygenation and indirectly affect healing, shortness of breath is not a direct risk factor for pressure ulcer development. Adequate dietary intake: Adequate nutrition prevents pressure ulcers rather than increasing the risk. Poor dietary intake, particularly protein and vitamin deficiencies, is a risk factor. Muscular pain: While pain can limit movement, it is not a primary risk factor for pressure ulcer development. Immobility and prolonged pressure are the key contributors.
Question 4 of 5
A nurse is calculating the total fluid intake for a client during a 4-hr period. The client consumes 1 cup of coffee, 4 oz of orange juice, 3 oz of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz of water. The nurse should record how many mL of intake on the client's record? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1170
Rationale:
Step 1: Convert cups and ounces to mL (1 cup = 240 mL, 1 oz = 30 mL): Coffee: 1 cup = 240 mL; Orange juice: 4 oz × 30 mL = 120 mL; Water.ConcurrentHashMap (first): 3 oz × 30 mL = 90 mL; Flavored gelatin: 1 cup = 240 mL; Tea: 1 cup = 240 mL; Broth: 5 oz × 30 mL = 150 mL; Water (second): 3 oz × 30 mL = 90 mL.
Step 2: Add all the mL values together: 240 + 120 + 90 + 240 + 240 + 150 + 90 = 1,170 mL. Final Answer: 1,170 mL.
Question 5 of 5
A school nurse identifies that a child has pediculosis capitis and educates the child's parents about the condition. Which of the following statements by the parents indicates an understanding of the teaching?
Correct Answer: D
Rationale: All recently used clothing, bedding, and towels must be washed in hot water': Lice and nits can survive on fabric surfaces, so washing clothing, bedding, and towels in hot water (≥130°F/54°
C) and drying on high heat is recommended to eliminate them. 'I will treat all the family members to be on the safe side': Treatment is only recommended for individuals who have active lice or close, prolonged contact with the infected child. Treating everyone unnecessarily may lead to overuse of medications. 'My child must be free from nits before returning to school': The CDC and AAP do not recommend 'no-nit' policies, as nits alone do not indicate active infestation. Children can return to school after appropriate treatment begins. '
Toys that can't be dry cleaned or washed must be thrown out': Non-washable items should be sealed in a plastic bag for 2 weeks to kill lice, rather than being thrown away.