ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is providing care for a patient who has terminal liver cancer.
Question 1 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 2 of 5
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10 units of NPH insulin to be mixed together and administered subcutaneously.Determine the correct order of steps for this procedure.
Correct Answer: C,A,D,B
Rationale:
Correct Answer: C, A, D, B
Rationale:
1. Injecting air into the bottle of NPH insulin (
C) prevents a vacuum from forming when you withdraw the dose.
2. Injecting air into the bottle of regular insulin (
A) prevents negative pressure, making it easier to withdraw the dose.
3. Withdraw the correct dose of regular insulin (
D) first to avoid contamination.
4. Withdraw the correct dose of NPH insulin (
B) last as it is a longer-acting insulin, ensuring proper mixing and administration.
Summary:
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Choice A is incorrect as air should be injected into the NPH insulin bottle first.
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Choice B is incorrect as NPH insulin should be drawn last.
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Choice D is incorrect as regular insulin should be drawn before NPH insulin.
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Choice E, F, and G are not relevant to the correct order of steps.
Question 3 of 5
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which piece of information is the priority for the nurse to provide?
Correct Answer: B
Rationale: The correct answer is B: Breath sounds. This is the priority because it provides crucial information about the client's respiratory status and the effectiveness of treatment for pneumonia. Abnormal breath sounds could indicate worsening respiratory distress or pneumonia complications. Providing this information helps the oncoming nurse assess the client's current condition and make timely interventions. The other choices are not as critical: A - Admitting diagnosis is important but does not provide immediate information on the client's current status; C - Body temperature is relevant but may not indicate the severity of pneumonia; D - Diagnostic test results are important but may not provide real-time data on the client's respiratory status.
Question 4 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.
Extract:
A client with herpes zoster is inquiring about the use of complementary and alternative therapies for pain management.
Question 5 of 5
Which therapy should the nurse inform the client is contraindicated for their condition?
Correct Answer: D
Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to alleviate various conditions. However, for some clients with certain medical conditions like bleeding disorders or compromised immune systems, acupuncture can be contraindicated due to the risk of infection or excessive bleeding.
Therefore, the nurse should inform the client that acupuncture is not suitable for their condition.
A: Biofeedback is a non-invasive technique that helps individuals control physiological processes. It is generally safe and not contraindicated for most clients.
B: Aloe is a natural remedy often used for skin conditions or as a dietary supplement. It is generally safe and not contraindicated for most clients.
C: Feverfew is an herb commonly used for migraines and other conditions. While it may interact with certain medications, it is not typically contraindicated for most clients.