ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
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 1 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:
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: After drawing up the medication, the nurse should ask another nurse to observe the medication wastage. This is a standard procedure for controlled substances like opioids.
Extract:
Nurses’ Notes
• The client reports a sudden onset of chest tightness and difficulty breathing starting approximately 30 minutes ago.
• The client is anxious and visibly distressed, clutching her chest intermittently.
• She has a history of hypertension and diabetes, which are being managed with medication.
• On examination, the client is sitting upright and appears to be in moderate respiratory distress.
• The client mentions feeling lightheaded and reports a slight headache.
• She is sweating profusely and her skin is pale.
• The client denies any recent physical exertion or known exposure to irritants.
Vital Signs
• Temperature: 37.2°C (99.0°F)
• Heart Rate: 104 beats per minute
• Respiratory Rate: 22 breaths per minute
• Blood Pressure: 158/92 mmHg
Physical Examination Results
• The client’s lungs exhibit bilateral wheezing and crackles upon auscultation.
• There is no visible swelling or edema in the extremities.
• The client has a dry cough that is intermittent.
• No cyanosis is noted around the lips or extremities.
• The client’s skin is cool and clammy.
• The client appears slightly disoriented when asked questions.
• There is no sign of trauma or injury.
Question 3 of 5
A 45-year-old female client is admitted to the emergency department with complaints of sudden shortness of breath and chest tightness. She has a history of hypertension and diabetes.Exhibits:A nurse is assessing the client at 0700 hrs. Which of the following actions should the nurse take first? A Initiate a cardiac enzyme panel
Correct Answer: D
Rationale: The client's symptoms of sudden shortness of breath, chest tightness, and anxiety, along with her history of hypertension and diabetes, are concerning for a possible cardiac event. An electrocardiogram (ECG) can provide immediate information about the heart's electrical activity and help identify if the client is experiencing a heart attack or other cardiac event. This should be the first action taken to quickly identify the cause of the client's symptoms and initiate appropriate treatment.
Extract:
Question 4 of 5
A nurse is conducting a Romberg test as part of a patient’s physical assessment. Which of the following methods should the nurse employ?
Correct Answer: C
Rationale: Having the patient stand with their arms at their sides and their feet together is the correct method for conducting a Romberg test.
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.