ATI RN
ATI Fundamentals Proctored Exam 2024
1. The healthcare provider orders an IV solution of dextrose 5% in water at 100ml/hour. What would the flow rate be if the drop factor is 15 gtt = 1 ml?
- A. 5 gtt/minute
- B. 13 gtt/minute
- C. 25 gtt/minute
- D. 50 gtt/minute
Correct answer: C
Rationale: To determine the flow rate in drops per minute, multiply the ordered volume per hour by the drop factor (100 ml/hour x 15 gtt/ml = 1500 gtt/hour). Then, divide the result by 60 minutes to convert it to drops per minute (1500 gtt/hour รท 60 minutes = 25 gtt/minute). Therefore, the correct answer is 25 gtt/minute.
2. Which leadership style is most effective in a crisis situation?
- A. Democratic
- B. Autocratic
- C. Transformational
- D. Laissez-faire
Correct answer: B
Rationale: An autocratic leadership style is most effective in a crisis situation because it allows for quick decision-making without the need for extensive consultation or deliberation. In a crisis, immediate and decisive actions are often required to address the situation effectively. Democratic leadership, on the other hand, may slow down the decision-making process due to the need for consensus and input from team members. Transformational leadership focuses on inspiring and motivating followers, which may not always be as effective in a crisis where urgent actions are needed. Laissez-faire leadership, characterized by a hands-off approach, is generally ineffective in crisis situations as it lacks the necessary direction and guidance required to navigate through the challenges efficiently.
3. A healthcare professional is educating a client who is starting therapy with gemcitabine. Which of the following findings should the healthcare professional instruct the client to report?
- A. Dyspnea
- B. Constipation
- C. Tinnitus
- D. Dry mouth
Correct answer: A
Rationale: The healthcare professional should instruct the client to report dyspnea since it can indicate pulmonary toxicity, a severe adverse effect associated with gemcitabine therapy. Monitoring and reporting dyspnea promptly can help in early detection and management of potential serious complications. Constipation, tinnitus, and dry mouth are not typically associated with gemcitabine therapy and are not urgent findings requiring immediate reporting.
4. To prevent injury and strain on the muscles, the nurse should observe proper body mechanics. Among the following, which is a principle of proper body mechanics?
- A. Broaden the space between the feet
- B. Push instead of pull
- C. Move the object away from the body when lifting
- D. Bend at the waist, not on the knees
Correct answer: B
Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.
5. A client is discussing the use of herbal supplements for health promotion with a nurse. Which of the following client statements indicates an understanding of herbal supplement use?
- A. I can take echinacea to improve my immune system.
- B. I can take feverfew to reduce my level of anxiety.
- C. I can take ginger to improve my memory.
- D. I can take ginkgo biloba to relieve nausea.
Correct answer: D
Rationale: The correct answer is D. Ginkgo biloba is commonly used to improve blood circulation and relieve symptoms of cognitive disorders like dementia. The other choices are incorrect because echinacea is used to boost the immune system, feverfew is used for migraines and headaches, and ginger is known for its anti-inflammatory properties and aiding digestion, not memory improvement.