ATI Fundamentals Proctored Exam 2024

ATI Fundamentals Proctored Exam 2024 Related

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The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:

  • A. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
  • B. Reporting an APTT above 45 seconds to the physician
  • C. Assessing the patient for signs and symptoms of frank and occult bleeding
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D. When a physician orders a maintenance dose of subcutaneous heparin, nursing responsibilities include reviewing daily activated partial thromboplastin time (APTT) and prothrombin time to monitor the patient's coagulation status, reporting an APTT above 45 seconds to the physician as it may indicate a risk of bleeding, and assessing the patient for signs and symptoms of frank and occult bleeding, which are potential adverse effects of anticoagulant therapy. Therefore, all the options listed are essential nursing responsibilities when a patient is on subcutaneous heparin therapy.

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To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures the hourly urine output. When should she notify the physician?

  • A. Less than 30 ml/hour
  • B. 64 ml in 2 hours
  • C. 90 ml in 3 hours
  • D. 125 ml in 4 hours
Correct Answer: A

Rationale: Notifying the physician is necessary when the urine output is less than 30 ml/hour as it indicates impaired kidney function. Adequate urine output is essential for monitoring kidney function, and a urine output less than 30 ml/hour could suggest potential renal issues that require medical attention.

A healthcare provider reaches to answer the telephone on a busy pediatric unit, momentarily turning away from a 3-month-old infant she has been weighing. The infant falls off the scale, suffering a skull fracture. The healthcare provider could be charged with:

  • A. Defamation
  • B. Assault
  • C. Battery
  • D. Malpractice
Correct Answer: D

Rationale: The scenario described involves a breach of duty by the healthcare provider to properly supervise the infant, resulting in harm. This failure to meet the standard of care falls under the category of malpractice, which refers to professional negligence or misconduct. Malpractice specifically applies to situations where a healthcare provider's actions or omissions deviate from the accepted standard of care, causing harm to a patient. In this case, the nurse's lack of supervision leading to the infant falling off the scale and sustaining a skull fracture would be considered malpractice.

Which of the following white blood cell (WBC) counts clearly indicates leukocytosis?

  • A. 4,500/mm³
  • B. 7,000/mm³
  • C. 10,000/mm³
  • D. 25,000/mm³
Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Which of the following principles of primary nursing has proven most satisfying to the patient and nurse?

  • A. Continuity of patient care promotes efficient and cost-effective nursing care.
  • B. Autonomy and authority for planning are best delegated to a nurse who knows the patient well.
  • C. Accountability is clearest when one nurse is responsible for the overall plan and its implementation.
  • D. The holistic approach provides for a therapeutic relationship, continuity, and efficient nursing care.
Correct Answer: D

Rationale: The holistic approach, encompassing a therapeutic relationship, continuity, and efficient nursing care, is the most satisfying principle of primary nursing. This approach considers the patient as a whole, taking into account physical, emotional, social, and spiritual aspects, which enhances the nurse-patient relationship and promotes comprehensive care. It emphasizes individualized care delivery, continuity of care, and an integrated approach, leading to improved patient satisfaction and nurse fulfillment.

What do high-pitched gurgles heard over the right lower quadrant indicate?

  • A. Increased bowel motility
  • B. Decreased bowel motility
  • C. Normal bowel sounds
  • D. Abdominal cramping
Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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