ATI RN
ATI RN Nutrition Online Practice 2019
1. You will do nasopharyngeal suctioning on Mr. Abad. Your guide for the length of insertion of the tubing for an adult would be:
- A. tip of the nose to the base of the neck
- B. the distance from the tip of the nose to the middle of the neck
- C. the distance from the tip of the nose to the tip of the ear lobe
- D. eight to ten inches
Correct answer: D
Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.
2. What is the preferred electrical intervention for a patient with ventricular tachycardia with a pulse?
- A. Defibrillation
- B. Synchronized cardioversion
- C. Pacing
- D. Medication administration
Correct answer: B
Rationale: Synchronized cardioversion is the preferred electrical intervention for ventricular tachycardia with a pulse. In this scenario, the heart still has an organized rhythm, so synchronized cardioversion is used to deliver a shock at a specific point in the cardiac cycle, aiming to restore a normal rhythm. Defibrillation (Choice A) is used for pulseless ventricular tachycardia or ventricular fibrillation. Pacing (Choice C) may be used for bradycardias or certain types of heart blocks. Medication administration (Choice D) can be considered for stable ventricular tachycardia, but synchronized cardioversion is the primary intervention for ventricular tachycardia with a pulse.
3. A healthcare professional is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the healthcare professional identify as complete?
- A. Furosemide 20 mg BID.
- B. Aspirin 1 tablet daily.
- C. Nitroglycerin transdermal patch.
- D. Metoprolol 5 mg IV now.
Correct answer: D
Rationale: The correct answer is D because it provides the medication (Metoprolol), dosage (5 mg), route of administration (IV), and timing (now), making it a complete prescription. Choices A, B, and C lack either the route of administration or timing, making them incomplete prescriptions. For choice A, it lacks the route of administration, and for choices B and C, they lack the timing of administration.
4. One potential side effect associated with the use of nonsteroidal anti-inflammatory drugs is:
- A. Stomach irritation and bleeding
- B. Stomatitis and esophagitis
- C. Impaired folate absorption
- D. Increased potassium excretion
Correct answer: A
Rationale: The correct answer is A: Stomach irritation and bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) can lead to stomach irritation and bleeding by affecting the gastric mucosa. Stomatitis and esophagitis (choice B) are not commonly associated with NSAIDs. Impaired folate absorption (choice C) is not a typical side effect of NSAIDs. Increased potassium excretion (choice D) is not a common side effect of NSAIDs.
5. A client has a new prescription for Furosemide to treat heart failure. Which of the following laboratory results should the nurse monitor?
- A. Potassium level
- B. Sodium level
- C. Hemoglobin A1C
- D. BUN
Correct answer: A
Rationale: The nurse should monitor the client's potassium levels when taking Furosemide because the medication can lead to hypokalemia. Hypokalemia is a potential side effect of Furosemide, a loop diuretic, due to increased potassium excretion in the urine. Monitoring potassium levels is crucial to prevent complications such as cardiac dysrhythmias associated with low potassium levels. Therefore, choices B (Sodium level), C (Hemoglobin A1C), and D (BUN) are incorrect as they are not directly influenced by Furosemide therapy for heart failure.