ATI RN
ATI RN Fundamentals Online Practice 2023 B Questions
Extract:
A nurse is caring for a client who has COPD.The following are the client’s vital signs: Temperature 38.6C (101.5° F), BP 114/86 mm Hg, Heart rate 99/min, Respiratory rate 32/min, Oxygen saturation 85% on room air.
Question 1 of 5
Which three findings require follow-up?
Correct Answer: B,C,D
Rationale: The correct answer is B, C, D. Oxygen saturation, temperature, and heart rate are vital signs that require follow-up as they provide crucial information about a patient's health status. Oxygen saturation indicates how well oxygen is being carried in the blood, temperature reflects the body's metabolic activity, and heart rate indicates cardiac function. Monitoring these parameters can help in assessing the patient's overall condition and detecting any abnormalities early. Blood pressure, on the other hand, is important but not included in the correct answer as it may not require immediate follow-up unless it is significantly high or low.
Extract:
A nurse is preparing to suction secretions from a patient who has a new tracheostomy.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Select a suction catheter that is half the size of the lumen. This is because using a suction catheter that is half the size of the lumen allows for optimal suctioning efficiency without causing trauma to the patient's airway. A suction catheter that is too large can lead to tissue damage and ineffective suctioning.
Choice A is incorrect because using a resuscitation bag with 80% oxygen prior to the procedure is not related to proper suctioning technique.
Choice C is incorrect because placing the end of the suction catheter in water-soluble lubricant is not necessary and can introduce potential infection risks.
Choice D is incorrect because adjusting the wall suction apparatus to a pressure of 170 mm Hg is too high and can cause harm to the patient's airway.
Overall, selecting the appropriate size suction catheter is crucial for effective and safe suctioning procedures.
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.
Question 4 of 5
A nurse is caring for a patient who has herpes zoster and is inquiring about the use of complementary and alternative therapies.Which of the following actions should the nurse take to reduce the patient’s risk of developing plantar flexion contractures?
Correct Answer: D
Rationale: The correct answer is D: Apply an ankle-foot orthotic device to the patient's feet. This option is the most appropriate because an ankle-foot orthotic device helps maintain proper alignment of the foot and ankle, preventing plantar flexion contractures. Placing a pillow under the patient's knees (option
A) may provide comfort but does not address the contracture risk. Positioning trochanter rolls under the hips (option
B) is used for hip alignment, not foot contractures. Advising the patient to wear rubber-soled slippers (option
C) is focused on preventing falls, not contractures. Applying an ankle-foot orthotic device directly addresses the risk of plantar flexion contractures by providing support and maintaining proper alignment of the feet.
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.