ATI RN
ATI Fundamentals Proctored Exam 2023 Quizlet
1. What is the most appropriate nursing order for a patient who develops dyspnea and shortness of breath?
- A. Maintain the patient on strict bed rest at all times
- B. Maintain the patient in an orthopneic position as needed
- C. Administer high-flow oxygen immediately
- D. Encourage the patient to engage in vigorous physical activity
Correct answer: B
Rationale: Maintaining the patient in an orthopneic position as needed is the most appropriate nursing order for a patient experiencing dyspnea and shortness of breath. This position helps to optimize lung expansion, improve oxygenation, and alleviate breathing difficulties. It is a strategic intervention to enhance respiratory function in patients with respiratory distress. Choice A is incorrect because strict bed rest may not address the underlying respiratory issue effectively. Choice C is premature as administering high-flow oxygen should be based on a comprehensive assessment. Choice D is inappropriate as encouraging vigorous physical activity can exacerbate breathing problems in a patient experiencing dyspnea.
2. What is the abbreviation for micro drop?
- A. µgtt
- B. gtt
- C. mdr
- D. mgts
Correct answer: A
Rationale: The correct abbreviation for micro drop is 'µgtt,' where the symbol 'µ' represents micro and 'gtt' stands for drop. Choice B, 'gtt,' is the abbreviation for drop, not specifically for micro drop. Choice C, 'mdr,' and Choice D, 'mgts,' are not standard abbreviations for micro drop and are incorrect.
3. What is the most important legal responsibility for the healthcare team after a patient's death in a hospital?
- A. Obtaining consent for an autopsy
- B. Notifying the coroner or medical examiner
- C. Labeling the body appropriately
- D. Ensuring the attending physician issues the death certificate
Correct answer: D
Rationale: After a patient's death in a hospital, the most crucial legal responsibility for the healthcare team is ensuring that the attending physician issues the death certificate. The death certificate is a vital legal document that confirms the cause of death and is required for legal and administrative purposes, including the completion of the patient's medical records and facilitating the family's ability to proceed with funeral arrangements and insurance claims. While other actions such as obtaining consent for an autopsy, notifying the coroner or medical examiner, and labeling the body appropriately are important, ensuring the timely and accurate issuance of the death certificate takes precedence in this scenario.
4. Which of the following actions should be taken to use a wide base support when assisting a client to get up in a chair?
- A. Bend at the waist and place arms under the client’s arms and lift
- B. Face the client, bend knees, and place hands on the client’s forearm and lift
- C. Spread the feet apart
- D. Tighten the pelvic muscles
Correct answer: C
Rationale: The correct answer is C: Spread the feet apart. When assisting a client to get up in a chair, it is crucial to use a wide base of support to maintain stability and prevent injuries. Spreading the feet apart provides a broader base, increasing balance and support for both the client and the caregiver. This position helps distribute the weight evenly and allows for better control when assisting the client in moving. Choices A, B, and D are incorrect because bending at the waist, placing arms under the client's arms, tightening pelvic muscles, or placing hands on the client's forearm do not provide the necessary wide base support needed for stability and safety during the transfer process.
5. A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature?
- A. Oral
- B. Axillary
- C. Arterial line
- D. Rectal
Correct answer: D
Rationale: In cases where the oral route is contraindicated due to oral surgery or altered consciousness, the rectal method is preferred for the most accurate body temperature reading. This method is particularly useful when the skin is flushed and warm, as it provides a reliable reflection of core body temperature despite external factors affecting the skin temperature. Axillary temperature may not be as accurate as rectal temperature due to variations caused by environmental factors and technique. Arterial line temperature monitoring is invasive and not typically used for routine temperature assessment.
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