ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is examining a patient’s medication prescription which states, “digoxin 0.25 by mouth daily.”.
Question 1 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 providing dietary advice to a client at risk for hypokalemia.
Question 2 of 5
Which food should the nurse recommend for inclusion in the client's diet?
Correct Answer: D
Rationale: The correct answer is D: Avocados. Avocados are a nutrient-dense food high in healthy fats, fiber, and various vitamins and minerals, beneficial for heart health and weight management. Cucumbers (
A) are low in nutrients compared to avocados. Corn (
B) is high in carbs and lower in healthy fats. Asparagus (
C) is nutritious but not as nutrient-dense as avocados.
Extract:
Question 3 of 5
A nurse is educating a terminally ill patient about declining resuscitation in a living will. The patient asks, 'What would happen if I arrived at the emergency department and I had difficulty breathing?'
Correct Answer: A
Rationale: The correct answer is A because providing oxygen through a tube in the nose is a non-invasive and supportive measure to help the patient breathe easier. It aligns with the patient's wishes to decline resuscitation and focuses on comfort care.
Choice B is incorrect because a living will allows patients to change their wishes at any time.
Choice C is incorrect as inserting a breathing tube may not align with the patient's wishes for comfort-focused care.
Choice D is incorrect as consulting the appointed person should only be done if the patient is unable to make decisions themselves.
Question 4 of 5
A patient reports abdominal pain.An abdominal x-ray indicates a large amount of fecal material throughout the colon, but no evidence of gastrointestinal obstruction is observed.Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Administer a cleansing enema. This is the appropriate action because the large amount of fecal material in the colon indicates constipation. Administering a cleansing enema can help relieve the constipation by softening and loosening the stool, making it easier for the patient to pass. This intervention is non-invasive and can be effective in resolving the patient's abdominal pain.
Choice A is incorrect because the patient already has fecal material throughout the colon, so positioning alone may not be sufficient to alleviate the symptoms.
Choice B is incorrect as a chest x-ray would not provide relevant information for the patient's abdominal pain.
Choice D is incorrect because a manual digital examination is not indicated without further assessment or suspicion of a specific rectal issue.
Question 5 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse.Which of the following actions should the nurse include?
Correct Answer: B
Rationale:
Correct Answer: B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Rationale: Nasal cannula delivers low to moderate levels of supplemental oxygen, typically ranging from 1-6 L/min. Higher flow rates can dry out the nasal passages and increase the risk of oxygen toxicity. This choice aligns with evidence-based practice guidelines for safe oxygen administration.
Incorrect
Choices:
A: Regulating flow rate by aligning with the top of the ball inside the flow meter is not evidence-based and may lead to incorrect oxygen delivery.
C: Keeping the reservoir bag deflated in a partial rebreathing mask is incorrect as the bag should be at least partially inflated to ensure adequate oxygen delivery.
D: Using petroleum jelly to lubricate the patient's nares, face, and lips is not recommended as it can be a fire hazard in the presence of oxygen.