ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?
Correct Answer: A
Rationale: The correct answer is A: Assessment. During the assessment phase of the nursing process, the nurse gathers information about the client's health status, including potential allergies. This is crucial to ensure the client's safety during diagnostic testing. Planning (
B) involves setting goals and outcomes, Implementation (
C) involves carrying out the plan of care, and Evaluation (
D) involves assessing the client's response to the interventions. Asking about allergies falls under the initial data collection process, making Assessment the correct phase for this action.
Question 2 of 5
A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider,who tells the nurse to restrain the client if necessary to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?
Correct Answer: A
Rationale:
Correct
Answer: A - False imprisonment
Rationale: False imprisonment occurs when a person is unlawfully restrained against their will. In this scenario, restraining the client against her wishes would constitute false imprisonment as she has the right to refuse treatment and leave the hospital. It is a violation of her freedom of movement and autonomy.
Summary of other choices:
B: Invasion of privacy - Not applicable in this scenario as it pertains to the right to privacy.
C: Assault - Involves the threat of harm, not physical restraint.
D: Battery - Involves intentional harmful or offensive contact, not physical restraint in this context.
Question 3 of 5
A nurse is reviewing a client's prescription for 1,000 ml of 5% dextrose in water IV to infuse over 8 hr. At 1400 the nurse observes that there is 500 ml of solution remaining in the client's current IV bag. At what time should the nurse administer the next bag of IV solution?
Correct Answer: D
Rationale: The correct answer is D: 1800.
To determine when to administer the next bag of IV solution, we need to consider the remaining 500 ml of solution in the current bag. Since the client was prescribed 1,000 ml to infuse over 8 hours, we know that half of the solution (500 ml) will infuse in 4 hours. Given that the observation was made at 1400, 4 hours later would be 1800. This ensures that the client receives the remaining 500 ml within the prescribed timeframe.
Choice A (1700) is incorrect because this would only be 3 hours after the observation time, not the necessary 4 hours.
Choice B (1600) and
Choice C (1500) are even earlier, not allowing enough time for the remaining solution to infuse properly.
Question 4 of 5
A nurse is caring for several clients who are at various developmental stages. The nurse should explain that,according to Erikson acceptance of death is a primary task of which of the following stages of psychosocial development?
Correct Answer: C
Rationale:
Correct
Answer: C - Integrity vs. despair
Rationale: According to Erikson, the stage of Integrity vs. despair occurs in late adulthood (65+ years), where individuals reflect on their lives and come to terms with their mortality. Acceptance of death is a key aspect of achieving integrity, as individuals reconcile their past experiences and find meaning and satisfaction in their life journey.
Summary of Incorrect
Choices:
A: Autonomy vs. shame and doubt - Focuses on independence and self-control in early childhood, not directly related to acceptance of death.
B: Identity vs. role diffusion - In adolescence, the focus is on forming a sense of self, not specifically addressing acceptance of death.
D: Generativity vs. stagnation - In middle adulthood, the emphasis is on contributing to future generations, not directly related to acceptance of death.
Question 5 of 5
A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
Correct Answer: D
Rationale: The correct answer is D: Albumin. Albumin is a protein synthesized by the liver and is a marker for nutritional status. In cases of malnutrition, albumin levels decrease due to inadequate protein intake. This decrease in albumin indicates poor nutritional status and can lead to various complications.
A: Troponin is a marker for heart damage, not related to malnutrition.
B: Creatine kinase is an enzyme associated with muscle damage, not directly affected by malnutrition.
C:
Total bilirubin is related to liver function and not a specific indicator of malnutrition.