ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A client expresses anger when the nurse does not respond within 5 minutes of ringing for the nurse.
Question 1 of 5
Which response by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and focuses on the patient's feelings first. By acknowledging the patient's frustration and offering assistance, the nurse shows understanding and compassion.
Choice A lacks empathy and could be perceived as defensive.
Choice B shifts the focus away from the patient's needs and towards the nurse's priorities.
Choices D, E, F, and G are not provided, so they cannot be evaluated. In summary, choice C is the most appropriate response as it prioritizes the patient's emotions and needs.
Extract:
Question 2 of 5
The client is experiencing symptoms of itching and anxiety, and presents with a flushed face and hives. Complete the following sentence: 'The client's condition is indicative of _.'.
Correct Answer: A
Rationale: The correct answer is A: An allergic reaction. The symptoms described - itching, anxiety, flushed face, and hives - are classic signs of an allergic reaction. Itching and hives suggest a skin reaction, while anxiety can be a psychological response to the physical symptoms. Flushed face may indicate a systemic response. The presence of these symptoms together points towards an immune response triggered by an allergen.
Choices B, C, and D are incorrect as they do not align with the symptoms presented.
Choice B mentions side effects of a procedure, which would not typically cause these specific symptoms.
Choice C, anxiety disorder, does not explain the physical symptoms like itching and hives.
Choice D, hypersensitivity to IV gauge material, could be a potential cause, but the broader symptoms described are more indicative of an allergic reaction.
Question 3 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse.Which of the following actions should the nurse include?
Correct Answer: B
Rationale:
Correct Answer: B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.
Rationale: Nasal cannula delivers low to moderate levels of supplemental oxygen, typically ranging from 1-6 L/min. Higher flow rates can dry out the nasal passages and increase the risk of oxygen toxicity. This choice aligns with evidence-based practice guidelines for safe oxygen administration.
Incorrect
Choices:
A: Regulating flow rate by aligning with the top of the ball inside the flow meter is not evidence-based and may lead to incorrect oxygen delivery.
C: Keeping the reservoir bag deflated in a partial rebreathing mask is incorrect as the bag should be at least partially inflated to ensure adequate oxygen delivery.
D: Using petroleum jelly to lubricate the patient's nares, face, and lips is not recommended as it can be a fire hazard in the presence of oxygen.
Question 4 of 5
A nurse is caring for a patient who needs a nasogastric (NG) tube for stomach decompression. Which of the following steps should the nurse take when inserting the NG tube?
Correct Answer: D
Rationale:
Correct Answer: D - Encourage the patient to take sips of water to facilitate the insertion of the NG tube into the esophagus.
Rationale: Encouraging the patient to take sips of water helps lubricate the esophagus and aids in the passage of the NG tube smoothly. This technique can reduce discomfort and resistance during insertion.
Summary:
A: Positioning the patient with the head of the bed elevated is important for NG tube insertion, but it is not the immediate step during the process.
B: Removing the NG tube if the patient gags or chokes is incorrect; these are common reactions and do not necessarily indicate a need for removal.
C: Applying suction before insertion is unnecessary and can cause discomfort to the patient.
Extract:
A nurse is caring for a client who had a spinal cord injury and has paraplegia. The client is alert and oriented.The client is repositioned every 2 hr. Passive range-of-motion exercises to lower extremities are performed once each day.On Day 5, the client’s feet are warm, pedal pulses are 2+ bilaterally, plantar flexion contractures are noted bilaterally, and the left heel has a 1.3 cm x 1.3 cm (0.5 in x 0.5 in) area of nonblanchable erythema, with skin intact.
Question 5 of 5
Which findings require intervention by the nurse?
Correct Answer: A,B,C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Passive range-of-motion exercises to lower extremities performed once each day are important to prevent contractures and maintain joint mobility in immobile patients.
B: Left heel with nonblanchable erythema indicates a pressure injury or early sign of skin breakdown, requiring intervention to prevent further damage.
C: Plantar flexion contractures can lead to foot drop and impair mobility, so early intervention is necessary to prevent complications.
Summary:
D: Pedal pulses 2+ bilaterally indicate good circulation, which does not require immediate intervention.
E, F, G: Insufficient information provided to determine if these findings require immediate intervention.