ATI RN
ATI Nurs 2000 Fundamentals Questions
Extract:
Question 1 of 5
The provider orders fluid replacement for a dehydrated patient. The order entered is 1000 mL over 10 hours. If using an IV pump what is the rate that the nurse should enter?
Correct Answer: A
Rationale:
Step 1 is to calculate the rate of fluid replacement. The formula for this is: Rate (mL/hr) =
Total volume (mL) ÷ Time (hr) So for this question: Rate (mL/hr) = 1000 mL ÷ 10 hr = 100 mL/hr.
Question 2 of 5
A nurse administers the wrong medication to a patient. After assessing the patient the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
Correct Answer: D
Rationale: Fairness refers to treating all people equally and making decisions without favoritism or prejudice. This is not the most fitting answer because the scenario does not provide information about the nurse treating all patients equally. Confidence in nursing involves trust in one's abilities and clinical judgment. Although confidence is important in all nursing actions this scenario does not specifically highlight the nurse's confidence. Advocacy in nursing refers to the nurse's role in standing up for the rights and needs of their patient. While notifying the provider could be seen as a form of advocacy the nurse's actions in this scenario are more closely aligned with accountability. Accountability in nursing refers to the responsibility of nurses to execute their duties according to standards being answerable for their actions. In this scenario the nurse demonstrates accountability by acknowledging the medication error assessing the patient for any adverse effects and reporting the incident.
Question 3 of 5
Select physical signs you may see in a patient who is actively dying.
Correct Answer: A,C,D
Rationale: Slow capillary refill is a sign that the body is not circulating blood as effectively as it should be. This can be a sign that a person is actively dying. Ringing in the ears also known as tinnitus is not typically a sign that a person is actively dying. It can be caused by a variety of factors including exposure to loud noise certain medications and some health conditions. Cold hands and feet can be a sign that a person is actively dying. As the body's systems start to shut down blood flow to the extremities can decrease causing them to feel cold. Mottled and blotchy skin especially on the hands feet and knees can be a sign that a person is actively dying. This is caused by reduced blood flow to the skin.
Question 4 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: A
Rationale: Chronic stress is a prolonged often overwhelming feeling of stress that can negatively impact a person's daily life. It can be caused by various factors including high-pressure jobs challenging relationships and living in poverty. Living in poverty is a long-term situation that can cause chronic stress due to the constant worry about meeting basic needs such as food shelter and healthcare. This continuous worry and fear can lead to chronic stress. A motor vehicle accident is typically an acute stress event. While it can cause significant stress at the moment it is usually not a long-term stressor unless it results in severe injury or trauma that significantly impacts a person's daily life. Being a victim of a crime can indeed cause stress but it is typically considered an acute stress event. However if the crime results in long-term effects such as physical harm or psychological trauma it could potentially lead to chronic stress. The loss of a loved one can cause both acute and chronic stress. The initial loss can cause acute stress and the subsequent grieving process can lead to chronic stress especially if the individual has difficulty moving through the stages of grief. However not everyone who loses a loved one will experience chronic stress.
Question 5 of 5
A nurse is teaching a class about sources of stress. The nurse should include that which of the following is an example of a psychological stressor?
Correct Answer: C
Rationale: A wrist fracture is a physical stressor not a psychological one. It involves damage to the body's structures. A burn injury like a wrist fracture is a physical stressor. It involves physical harm to the body. Financial difficulties are a type of psychological stressor. They involve challenges and worries related to money which can cause mental and emotional stress. Hypothermia is a physical stressor. It involves a dangerously low body temperature and is a medical emergency.