ATI RN
Introduction to Professional Nursing Questions
Question 1 of 5
A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which would alert the nurse to intervene immediately?
Correct Answer: D
Rationale: The correct answer is D: Serum potassium level of 2.5 mEq/L (2.5 mmol/L). A low potassium level (hypokalemia) can be life-threatening, especially in a client receiving intravenous insulin, as insulin promotes cellular uptake of potassium, leading to hypokalemia. Symptoms of hypokalemia include muscle weakness, cardiac arrhythmias, and respiratory failure. Therefore, the nurse must intervene immediately by administering potassium supplements or adjusting the insulin dose. Summary: A: Serum chloride level - normal range, not directly related to insulin therapy. B: Serum calcium level - normal range, not directly related to insulin therapy. C: Serum sodium level - normal range, not directly related to insulin therapy.
Question 2 of 5
The nurse develops a plan of care to prevent aspiration in a high risk patient which nursing action will be most effective
Correct Answer: B
Rationale: The correct answer is B: Place a patient with altered consciousness in a side-lying position. This is the most effective nursing action to prevent aspiration in a high-risk patient because it helps prevent the patient from aspirating any secretions or vomitus. Placing the patient in a side-lying position helps to maintain an open airway and allows for proper drainage of fluids from the mouth. Rationale: A: Turning and repositioning an immobile patient every 2 hours is important for preventing pressure ulcers, but it does not directly address the risk of aspiration. C: Inserting a nasogastric tube for feeding a patient with high-calorie needs is not a preventative measure for aspiration and may even increase the risk if not managed properly. D: Monitoring respiratory symptoms in an immunosuppressed patient is important for early detection of respiratory infections but does not directly prevent aspiration.
Question 3 of 5
The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?
Correct Answer: A
Rationale: The correct answer is A: Administer high-ceiling (loop) diuretics. In fluid overload, the priority is to remove excess fluid from the body rapidly to prevent complications like pulmonary edema and heart failure. Loop diuretics are the most effective in removing excess fluid from the body. Assessing lung sounds (choice B) is important but addressing the fluid overload takes precedence. Placing a pressure-relieving overlay on the mattress (choice C) is not the priority in managing fluid overload. Weighing the client daily (choice D) is important for monitoring fluid status, but administering diuretics to address the overload is the immediate priority.
Question 4 of 5
What population do hospice nurses provide with care?
Correct Answer: C
Rationale: The correct answer is C because hospice nurses specifically provide care to dying persons and their loved ones. Hospice care focuses on providing comfort and support to individuals who are terminally ill and nearing the end of their life. Hospice nurses offer physical, emotional, and spiritual care to help manage symptoms and improve quality of life during this challenging time. Choices A, B, and D are incorrect because hospice care is not aimed at improving health, caring solely for children with chronic illnesses, or providing long-term care for older adults. These options do not align with the specialized support and services that hospice nurses offer to individuals at the end of life.
Question 5 of 5
What information does HIPAA mandate be given to patients upon admission to a healthcare facility?
Correct Answer: D
Rationale: The correct answer is D because HIPAA mandates that patients be informed about how their health information will be used and disclosed. This includes informing patients about privacy practices, their rights regarding their health information, and how their information may be shared with other healthcare providers for treatment purposes. Choices A, B, and C are incorrect because HIPAA focuses on protecting the privacy and security of patients' health information, rather than specifying insurance requirements, care providers, or levels of care provided at a healthcare facility.