ATI RN
ATI N100 Fundamentals Exam Questions
Question 1 of 5
A nurse is caring for a client with a current blood potassium level of 5.4 mEq/L (3.5-5 mEq/L). Which finding would this client have?
Correct Answer: D
Rationale: The correct answer is D: Paresthesias of the extremities. A potassium level of 5.4 mEq/L is above the normal range, leading to hyperkalemia. Paresthesias, such as tingling or numbness in the extremities, are a common symptom of hyperkalemia due to its effect on nerve function. Constipation (
A) is more commonly associated with hypokalemia. Polyuria (
B) is not typically a symptom of hyperkalemia. An EKG with a U wave (
C) is a characteristic finding of hypokalemia, not hyperkalemia.
Question 2 of 5
A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL (9-10.5 mg/dL). Which finding should the nurse expect during the initial assessment?
Correct Answer: B
Rationale: The correct answer is B: Increased blood clots. A serum calcium level of 12.3 mg/dL indicates hypercalcemia. Hypercalcemia can lead to increased blood clot formation due to alterations in blood coagulation factors. This is because calcium plays a role in blood clotting mechanisms. Hyperactive bowel sounds (
A) are not typically associated with hypercalcemia. Hyperactive deep tendon reflexes (
C) are more commonly seen in hypocalcemia. Positive Chvostek's sign (
D) is associated with hypocalcemia, not hypercalcemia.
Question 3 of 5
A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?
Correct Answer: D
Rationale: The correct answer is D: Occupational Therapist. Occupational therapists specialize in helping individuals with disabilities or injuries to perform daily activities, such as self-feeding, by providing adaptive techniques and equipment. In this case, the client's hand deformities and pain affecting self-feeding make the occupational therapist the most appropriate referral. Speech therapists focus on communication and swallowing disorders, not self-feeding. Registered dieticians focus on nutrition and dietary needs, not physical function. Physical therapists focus on mobility and strength, not specifically on self-feeding tasks.
Question 4 of 5
A nurse is caring for a client who is suffering from dysphagia after a stroke and is currently NPO. Which member of the inter-professional team would the nurse anticipate will be consulted to determine how this client will be safely fed?
Correct Answer: A
Rationale: The correct answer is A: Speech therapist. A speech therapist specializes in evaluating and treating swallowing disorders such as dysphagia. They will assess the client's swallowing ability and recommend appropriate feeding methods to ensure safe nutrition intake. Respiratory therapists focus on lung and breathing issues, not swallowing. Physical and occupational therapists address mobility and daily living activities, not feeding.
Therefore, the speech therapist is the most appropriate team member to consult in this scenario.
Question 5 of 5
A nurse is preparing to give a client an infusion of packed red blood cells (PRBCS). The nurse is priming her administration IV tubing, the nurse primes one side of the Y tubing with the blood and the other should be which solution?
Correct Answer: D
Rationale: The correct answer is D: 0.9% NS (normal saline). When administering PRBCs, it is important to prime the Y tubing with NS because it is isotonic and compatible with blood products, reducing the risk of hemolysis or clotting. NS maintains the tonicity of the blood, preventing cell swelling or shrinking. D5W (
A) is hypotonic and can cause hemolysis. 0.3% NS (
B) and Lactated Ringers (
C) are not ideal for blood product administration due to potential incompatibility and risk of clotting.