ATI RN
ATI Fundamentals Proctored Exam 2024 Questions
Question 1 of 5
Which of the following conditions may necessitate fluid restriction?
Correct Answer: C
Rationale: Renal failure often necessitates fluid restriction to prevent fluid overload. In renal failure, the kidneys are unable to effectively filter and excrete excess fluids, leading to fluid accumulation in the body. Restricting fluid intake helps manage this condition by preventing further fluid buildup and complications such as edema and electrolyte imbalances.
Question 2 of 5
The physician orders a platelet count to be performed on Mrs. Smith after breakfast. The nurse is responsible for:
Correct Answer: A
Rationale: The nurse's responsibility in this scenario is to instruct the patient about the diagnostic test ordered by the physician. This includes explaining the purpose of the test, any necessary preparations, and what to expect. The nurse is not responsible for writing the order, as this is the physician's role. Additionally, providing breakfast is not directly related to the platelet count test. Therefore, the correct answer is A, which aligns with the nurse's role in educating and supporting the patient regarding the test.
Question 3 of 5
Mrs. Mitchell has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:
Correct Answer: B
Rationale: The correct answer is B: Mashed potatoes and broiled chicken. Both mashed potatoes and broiled chicken are typically low in sodium content, making them suitable choices for a 500-mg low sodium diet. The other options, such as a ham and Swiss cheese sandwich on whole wheat bread, a tossed salad with oil and vinegar and olives, and chicken bouillon, may contain higher amounts of sodium and are not typically recommended for a low sodium diet.
Question 4 of 5
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
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.
Question 5 of 5
The four main concepts common to nursing that appear in each of the current conceptual models are:
Correct Answer: D
Rationale: The correct answer is D because it accurately reflects the four metaparadigm concepts universally recognized in nursing theory: **person**, **environment**, **health**, and **nursing**. These concepts form the foundational framework for nursing practice, research, and education. 1. **Person**: Central to nursing, this refers to the recipient of care, whether an individual, family, or community, acknowledging their holistic needs. 2. **Environment**: Encompasses external factors influencing health, including physical, social, and cultural contexts, recognizing that surroundings impact well-being. 3. **Health**: Represents the patient’s state of wellness, illness, or recovery, emphasizing the dynamic and subjective nature of health experiences. 4. **Nursing**: Defines the profession’s role, actions, and responsibilities in promoting health and providing patient-centered care. ### Why Other Options Are Incorrect: **Option A (Person, nursing, environment, medicine)**: Incorrect because "medicine" is not a core nursing metaparadigm concept. Medicine pertains to medical practice and treatment, which, while related, is distinct from nursing’s theoretical focus. Nursing emphasizes care, advocacy, and holistic support rather than medical interventions alone. **Option B (Person, health, nursing, support systems)**: Incorrect because "support systems" are not a standalone metaparadigm concept. While support systems (e.g., family, community) are important, they are subsumed under the broader concept of "environment," which more comprehensively addresses external influences on health. **Option C (Person, health, psychology, nursing)**: Incorrect because "psychology" is a discipline separate from nursing’s foundational concepts. Though psychological factors influence health, they are integrated into the "person" or "health" domains rather than standing as an independent metaparadigm element. The metaparadigm in nursing (Option D) provides a universal structure for understanding the discipline’s scope, whereas other options either introduce extraneous elements or omit critical concepts. This framework ensures nursing theories and practices remain cohesive and patient-centered, distinguishing nursing from other healthcare fields. Understanding these concepts helps students grasp nursing’s unique focus on holistic care within contextual and relational dynamics.