ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is planning a teaching session for a group of adolescents who each recently had an ostomy surgically placed.
Question 1 of 5
Which of the following methods should the nurse use as a psychomotor approach to learning?
Correct Answer: D
Rationale: The correct answer is D: Role play. Role play is a psychomotor approach to learning because it involves physical movement and practice of real-life scenarios, enhancing hands-on skills and muscle memory. It allows learners to actively participate, engage in problem-solving, and apply theoretical knowledge to practical situations. Group discussions (
A) focus on cognitive learning through dialogue. Query answer meetings (
B) involve verbal exchanges rather than physical actions. Practice sessions (
C) may involve repetition but lack the interactive and immersive nature of role play.
Extract:
A nurse is preparing to insert a peripheral IV catheter for an older adult client.
Question 2 of 5
Which action should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Position the client's arm in a dependent position. This is crucial for proper insertion of a peripheral IV catheter as it helps dilate the veins, making them easier to access. Option A is incorrect because catheter insertion should be at a 15-30 degree angle. Option C is unnecessary as it does not impact IV insertion. Option D is incorrect as IV therapy should be initiated in larger veins like the antecubital fossa.
Extract:
A nurse is caring for a patient who has a respiratory infection.
Question 3 of 5
What technique should the nurse use when performing nasotracheal suctioning for the patient?
Correct Answer: B
Rationale: The correct answer is B: Apply intermittent suction when withdrawing the catheter. This technique helps prevent mucosal damage and hypoxia by reducing the risk of excessive suction pressure and prolonged suction time. Inserting the catheter while the patient is swallowing (
A) can lead to aspiration. Placing the catheter in a clean and dry location for later use (
C) is incorrect as it can lead to contamination. Holding the suction catheter with the non-dominant hand (
D) is not necessary for effective suctioning.
Extract:
Question 4 of 5
A nurse is caring for a patient who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.
Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.
Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.
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 5 of 5
Which of the following findings indicate an improvement in the patient's condition?
Correct Answer: A
Rationale: The correct answer is A because granulation tissue covering the wound bed indicates healing progress by promoting tissue repair and regeneration. This is a positive sign of wound healing.
Choice B, slight erythema at wound edges, can indicate inflammation or infection, not necessarily improvement.
Choice C, warm surrounding tissue, could suggest infection or inflammation, not improvement.
Choice D, pain level 2, is subjective and doesn't directly indicate improvement in the condition.