ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is attending to a patient who is experiencing discomfort.
Question 1 of 5
Which of the following patient statements should the nurse document in the initial pain assessment to describe the quality of the patient's pain?
Correct Answer: A
Rationale: The correct answer is A because it provides specific information about the quality of the pain (dull ache) which helps in identifying the nature of the pain.
Choice B mentions a triggering factor of pain, not its quality.
Choice C describes an associated symptom, not the quality of pain.
Choice D only indicates the intensity of pain, not its quality.
Extract:
Question 2 of 5
A nurse is placing a patient on isolation precautions. Which of the following actions should the nurse take?
Correct Answer: A,B
Rationale: The correct answer is A and B. Wearing an N95 mask is crucial for airborne precautions to protect the nurse from inhaling infectious particles. Placing a container for soiled linens inside the patient's room prevents contamination of other areas.
Choice C is incorrect because a sterile, water-resistant gown is not necessary for isolation precautions.
Choice D is incorrect as ventilation is not a specific action for isolation precautions.
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 3 of 5
Which of the following actions should the nurse take?
Correct Answer: A,B,C
Rationale: The correct actions for the nurse to take are A, B, and C. A: Stopping the IV infusion is necessary if there are signs of infiltration or phlebitis. B: Elevating the client's left arm helps reduce swelling and promote venous return. C: Applying heat to the client's left hand can improve circulation and comfort.
Choice D is incorrect as starting a new IV without addressing the current issue is unnecessary.
Choices E, F, and G are not provided, but based on the rationale, they would also be incorrect since the correct actions address the current problem effectively.
Extract:
Diagnostic Results
Week 1:
Hematocrit (Hct): 42% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 15 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 8,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 350,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.7 mEq/L (Normal range: 3.5 to 5 mEq/L)
Week 2:
Hematocrit (Hct): 37% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 12 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 6,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 100,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.6 mEq/L (Normal range: 3.5 to 5 mEq/L)
Question 4 of 5
A nurse is caring for a female client. The following diagnostic results have been recorded over two weeks: Complete the following sentence by using the lists of options. The client is at risk for -----------------as evidenced by the-----------------------
Correct Answer: A,E
Rationale: Action to Take: A, E; Potential Condition: B; Parameter to Monitor: E, F.
Rationale: The correct answer is A, E because a decrease in platelet count (E) from 350,000/mm² to 100,000/mm² indicates a risk of bleeding. This is further supported by the decrease in hemoglobin levels (F) from 15 g/dL to 12 g/dL, indicating anemia. Monitoring platelet count (E) and hemoglobin levels (F) will help track the risk of bleeding and anemia. Other choices (C, D, G) are not directly supported by the diagnostic results provided.
Extract:
Question 5 of 5
A nurse in a clinic is caring for a middle-aged patient who states, 'The doctor says that, since I am at an average risk for colon cancer, I should have a routine screening. What does that involve?'
Correct Answer: B
Rationale: The correct answer is B: You should have a fecal occult blood test every year. This is the recommended screening test for patients at average risk for colon cancer as it can detect blood in the stool, which may indicate the presence of colorectal cancer. Colonoscopy (
Choice
A) is typically recommended starting at age 50 for average-risk individuals. Sigmoidoscopy (
Choice
C) is another screening option, but it is usually done every 5 years, not every 10 years. Getting a blood sample for a screening test (
Choice
D) is not specific to colon cancer screening and may not be as effective as the fecal occult blood test for detecting early signs of colorectal cancer.