ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 2 of 5
When shown an Amsler grid,the client reports seeing wavy distorted lines. The client also states his center of vision is dark and he has no sense of depth perception. The nurse suspects the client has which of the following conditions?
Correct Answer: C
Rationale: Macular degeneration affects the macula causing distorted vision dark spots and central vision loss which align with the client’s symptoms on the Amsler grid. Cataracts cause blurred vision glaucoma affects peripheral vision and retinal detachment causes flashes or curtain-like vision loss not matching the described symptoms.
Question 3 of 5
A client is hospitalized for observation after suffering heat exhaustion during a marathon race. He complains of dizziness when he stands up,and the RN determines that he has postural hypotension. Based on the information which of the following electrolyte imbalances could cause the client's symptoms?
Correct Answer: B
Rationale: Hyponatremia or low sodium levels can cause postural hypotension due to its role in regulating fluid balance and blood pressure. Heat exhaustion may lead to sodium loss through sweating contributing to symptoms like dizziness. Hypernatremia hyperkalemia and hypokalemia are less likely to cause postural hypotension in this context.
Question 4 of 5
A client continues to report post-surgical incision pain at a level of 9 out of 10 after pain medication is given. The next dose of pain medicine is not due for another hour. What should the critically thinking nurse do first?
Correct Answer: B
Rationale: Exploring other options for pain relief is the first action that the critically thinking nurse should take. The nurse should assess the patient’s pain level , location , quality, and contributing factors , and use a multimodal approach to pain management that includes pharmacological and non-pharmacological interventions,such as ice, heat,distraction,relaxation,or massage. Delaying notification discussing the procedure,or stating no other orders exist do not address the immediate pain.
Question 5 of 5
The RN receives a call from the lab that a client's potassium chloride (KCl) level is 6.6 (normal range is 3.5 to 5 mEq/L). What should the nurse do first?
Correct Answer: A
Rationale: Stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood or hyperkalemia can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium which is the KCl infusion and monitor the client’s vital signs electrocardiogram and symptoms. Administering more KCl or encouraging fluids without stopping the infusion would worsen the condition. Calling the pharmacy is secondary to stopping the infusion.