ATI RN
ATI 110 Fundamentals Exam 1 Questions
Question 1 of 5
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Dehydration. Diarrhea can lead to fluid and electrolyte loss, resulting in dehydration. Symptoms may include increased thirst, dry mouth, decreased urine output, and sunken eyes. Dehydration can be dangerous if not addressed promptly.
Choices B, C, and D are unlikely findings with diarrhea. A rigid abdomen suggests a more serious condition like peritonitis, hypothermia is not a typical complication of diarrhea, and decreased bowel sounds may indicate a paralytic ileus, not commonly associated with diarrhea.
Question 2 of 5
A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?
Correct Answer: D
Rationale: The correct answer is D: Increase the client's fluid intake. This intervention helps prevent constipation by promoting hydration and softening stool. Adequate fluid intake aids in maintaining bowel motility and preventing hard stools. Low-fiber diet (
A) can exacerbate constipation. Mineral oil (
B) can lead to complications and should be avoided. Cold fluids (
C) may cause discomfort and are not directly related to improving constipation. In summary, increasing fluid intake is the most appropriate intervention to address constipation in a client on bedrest.
Question 3 of 5
A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round off to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1
Rationale:
Correct
Answer: 1
Rationale:
To calculate the number of tablets per dose, divide the total dose (5 mg) by the dose per tablet (0.5 mg).
5 mg / 0.5 mg = 10 tablets for the total dose.
Since the total dose is divided into 3 equal doses, divide the total tablets by 3.
10 tablets / 3 = 3.33 tablets per dose.
Round off to the nearest tenth, which is 3.3.
Since we cannot administer a partial tablet, the nurse should administer 1 tablet per dose.
Summary:
A: 1 - Correct. Calculated based on dividing total dose by dose per tablet and rounding off.
B: 2 - Incorrect. Not the correct calculation based on the dose per tablet.
C: 3 - Incorrect. Not the correct calculation based on the dose per tablet.
D: 4 - Incorrect. Not the correct calculation based on the dose per tablet.
E
Question 4 of 5
A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals to address an identified problem?
Correct Answer: A
Rationale: The correct answer is A: Planning. In the nursing process, planning involves formulating goals and developing a plan of action to address the identified problems from the assessment phase. During this step, the nurse sets specific, measurable, achievable, relevant, and time-bound (SMART) goals to guide the care provided. Planning ensures that interventions are tailored to the client's unique needs and helps achieve positive outcomes. The other choices are incorrect because: B: Implementation involves carrying out the plan, C: Assessment is the initial step of gathering data, and D: Evaluation is the final step to determine the effectiveness of the interventions.
Question 5 of 5
A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?
Correct Answer: D
Rationale: The correct answer is D: Ask the client to demonstrate walking with crutches. This intervention engages the psychomotor domain of learning by requiring the client to physically demonstrate the skill being taught. This hands-on approach helps the client develop muscle memory and coordination needed to effectively use crutches.
A, B, and C do not directly involve physical action or demonstration by the client. A describes verbal instruction, B encourages questioning and discussion, and C involves visual learning through a video. While these interventions are valuable in the learning process, they do not specifically target the physical practice of using crutches.
In summary, option D is the correct choice as it actively engages the client in practicing the skill, aligning with the psychomotor domain of learning.