ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Delirium has an abrupt onset. Delirium is characterized by a sudden and fluctuating change in mental status. This rapid onset is a key feature that distinguishes delirium from other cognitive disorders. Delirium can develop over hours to days and is often reversible when the underlying cause is identified and treated promptly.
A: Incorrect. Delirium can disrupt a client's sleep cycle, leading to disturbances like insomnia or excessive drowsiness.
B: Incorrect. Delirium can impact a client's perception of their environment, causing confusion, disorientation, and hallucinations.
C: Incorrect. Delirium typically has a rapid onset rather than a slow progression. It is important to recognize and address delirium promptly to prevent complications.
Question 2 of 5
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 440
Rationale:
To calculate the net fluid intake, we need to add all fluid inputs (IV fluids and oral intake) and subtract all fluid outputs (emesis, voided urine, catheterized urine).
IV fluids: 600 mL + 100 mL = 700 mL
Oral intake: 250 mg cefazolin in 100 mL = 100 mL
Total input = 700 mL + 100 mL = 800 mL
Total output = 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL
Net fluid intake =
Total input -
Total output = 800 mL - 260 mL = 540 mL
Therefore, the correct answer is 540 mL, rounded to the nearest whole number, which is 540 mL. Other choices are incorrect as they do not align with the calculations based on the given inputs and outputs.
Question 3 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Contract your pelvic muscle when performing the exercises. Kegel exercises aim to strengthen the pelvic floor muscles, which support the bladder and bowel functions. Contracting the pelvic muscles during these exercises helps to improve control over urinary incontinence. Holding your breath (
A) is not recommended as it can increase intra-abdominal pressure. Expecting improvement after 2 weeks (
C) is not accurate; it may take longer to see results. Tightening the buttocks (
D) does not target the pelvic muscles effectively.
Question 4 of 5
A nurse is teaching a client how to self-administer daily low-dose heparin injections. Which of the following factors is most likely to increase the client's motivation to learn?
Correct Answer: A
Rationale: The correct answer is A. The client's belief that his needs will be met through education is likely to increase motivation to learn because it aligns with the concept of self-determination theory. This theory posits that individuals are motivated when they perceive that their needs for autonomy, competence, and relatedness are met. In this case, the client believing that his needs will be met through education satisfies his need for competence in managing his health.
Choice B is incorrect because simply being told the need for education may not necessarily increase motivation without the client perceiving a personal benefit.
Choice C is incorrect as seeking family approval is an external motivator and may not necessarily lead to sustained motivation.
Choice D is incorrect as empathy from the nurse, while important, may not directly impact the client's motivation to learn.
Question 5 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C: "I will wear an N95 respirator mask when caring for the client." This is the correct choice because MRSA can be transmitted through respiratory droplets, and wearing an N95 respirator mask can help prevent the spread of the infection. Removing the gown before gloves (choice
A) is incorrect as it increases the risk of contamination. Asking visitors to wear a mask (choice
B) may be helpful but does not directly address the nurse's protection. Placing the client in a private room (choice
D) is important for isolation but does not focus on the nurse's protection.