The nurse is caring for a client who has fluid overload. What action by the nurse takes priority?

Questions 73

ATI RN

ATI RN Test Bank

Introduction to Professional Nursing Questions

Question 1 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 2 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.

Question 3 of 5

Nurses make decisions in their practice every day. Which of the following are potential errors in this decision-making process? Select all that apply.

Correct Answer: C

Rationale: The correct answer is C: selecting alternatives to maintain status quo. This is a potential error in decision-making as it involves choosing options that keep things the same without considering if there are better alternatives. Nurses should prioritize patient well-being over maintaining the current state. A, placing emphasis on the last data received, can be a potential error if it leads to overlooking important earlier information. B, avoiding information contrary to one's opinion, is a bias that can hinder objective decision-making. D, being predisposed to multiple solutions, may not necessarily be an error as long as all solutions are thoroughly evaluated before making a decision.

Question 4 of 5

A nurse organizes patient data using the SOAP format. Which of the following would be recorded under S of this acronym?

Correct Answer: C

Rationale: The correct answer is C: patient's chief complaint. In the SOAP format, "S" stands for Subjective, which includes the patient's chief complaint. This is the reason for the patient seeking healthcare. A: patient complaints of pain is too specific and may not encompass the overall chief complaint. B: patient symptoms are part of the objective assessment. D: patient interventions fall under the "P" (Plan) section, not the subjective component.

Question 5 of 5

A nurse practitioner is caring for a couple who are the parents of an infant diagnosed with Down's Syndrome. The nurse makes referrals for a parent support group for the family. This is an example of which nursing role?

Correct Answer: C

Rationale: The correct answer is C: Counselor. The nurse making referrals for a parent support group demonstrates the role of a counselor by providing emotional support, guidance, and resources to help the family cope with their situation. This goes beyond educating or leading the parents (choices A and B) and does not specifically involve collaboration with other healthcare professionals (choice D). Counseling involves actively listening, empathizing, and assisting individuals or families in dealing with emotional challenges, which is the primary role demonstrated in this scenario.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions