ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is caring for a client who has a peripheral IV inserted for fluid replacement.
On Day 1, Lactated Ringer’s was infusing at 100 mL/hr into a 20-gauge IV catheter in the left hand. The IV dressing was dry and intact.
The IV site was without redness or swelling. The IV fluid was infusing well.
On Day 2, the IV site was edematous.
The skin surrounding the catheter site was taut, blanched, and cool to touch. The IV fluid was not infusing.
The nurse is assessing the client.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale:
Choice A: Stopping the IV infusion prevents further tissue damage from infiltration.
Choice B: Elevating the arm reduces swelling.
Choice C: Applying heat promotes comfort and reduces swelling.
Choice D: Starting a new IV is premature before managing the infiltration.
Extract:
Question 2 of 5
A nurse is assessing an older adult client’s risk for falls.Which assessments should the nurse use to identify the client’s safety needs? (Select all that apply)
Correct Answer: B,C,D
Rationale:
Choice A: Pupil clarity is not related to fall risk.
Choice B: Gait appearance identifies balance issues.
Choice C: Visual fields affect spatial awareness.
Choice D: Visual acuity impacts obstacle detection.
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: Granulation tissue covering the wound bed is a positive sign of wound healing. It consists of new connective tissue and tiny blood vessels that develop in the wound bed as part of the body's response to injury.
Extract:
Question 4 of 5
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to be mixed together and administered subcutaneously.Determine the correct order of steps for this procedure.
Correct Answer: C,A,D,B
Rationale: The correct order is: Inject 10 units of air into NPH insulin (
C), inject 5 units of air into regular insulin (
A), withdraw regular insulin (
D), withdraw NPH insulin (
B). This prevents contamination and ensures accurate dosing.
Question 5 of 5
A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?
Correct Answer: D
Rationale: Applying an ankle-foot orthotic device to the patient's feet can help maintain the foot in a neutral position, thereby reducing the risk of developing plantar flexion contractures.