ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
Question 1 of 5
Which of the following items should be recorded as 120 mL of fluid in the client's intake and output record?
Correct Answer: C
Rationale: The correct answer is C: 8 oz of ice chips. In clinical settings, fluids are typically measured in milliliters. 1 oz is approximately 30 mL, so 8 oz of ice chips would be equivalent to 240 mL of fluid. Ice chips are considered a liquid at room temperature and will eventually melt into liquid form, contributing to the client's fluid intake.
Choices A, B, and D are incorrect because they are not equivalent to 120 mL of fluid.
Choice A, 2 cups of soup, is approximately 480 mL.
Choice B, 1 quart of water, is approximately 946 mL.
Choice D, 6 oz of tea, is equivalent to 180 mL.
Therefore, the most accurate option is C based on the given measurement.
Extract:
A nurse is providing care for a patient who has terminal liver cancer.
Question 2 of 5
Which statement from the patient should the nurse recognize as a sign of spiritual distress?
Correct Answer: A
Rationale: The correct answer is A. This statement reflects questioning of personal worth and guilt, indicating spiritual distress. B focuses on external blame, C on familial support, and D on personal control, which are not necessarily signs of spiritual distress. It's important for the nurse to recognize expressions of guilt and self-blame to provide appropriate spiritual care.
Extract:
Question 3 of 5
A nurse is educating a client who is under protective isolation precautions. Which statement from the client indicates they have understood the teaching?
Correct Answer: D
Rationale: The correct answer is D: "I will wear a face mask when leaving my hospital room." This statement shows understanding of the need to prevent the spread of infection by wearing a face mask, a key aspect of protective isolation precautions.
Choice A is incorrect as shower frequency doesn't relate to isolation precautions.
Choice B is incorrect as it doesn't address infection control.
Choice C is incorrect because taking a plane could expose others to potential infection.
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 4 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 correct answer is D: Obtain an electrocardiogram (ECG). The client's symptoms of sudden shortness of breath and chest tightness, along with her history of hypertension and diabetes, raise concerns for a possible cardiac event such as a heart attack. An ECG is crucial for promptly identifying any cardiac abnormalities and guiding further treatment. It provides valuable information on the heart's electrical activity, helping to assess for signs of ischemia or arrhythmias. Initiating a cardiac enzyme panel (choice
A) may be necessary later but obtaining an ECG takes priority for immediate assessment. Starting IV fluid therapy (choice
B), providing pain relief medication (choice
C), performing a comprehensive physical assessment (choice E) are important interventions but obtaining an ECG is the most urgent action to rule out a cardiac emergency in this scenario.
Extract:
A nurse is providing dietary advice to a client at risk for hypokalemia.
Question 5 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.