ATI RN
ATI Fundamentals Carugda Custom Exam Questions
Extract:
Question 1 of 5
A nurse in a community clinic is collecting data from a patient who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect?
Correct Answer: A ,D, E
Rationale: Frequent vomiting and diarrhea cause dehydration leading to hypotension (
A) from low blood volume poor skin turgor (
D) from reduced elasticity and flat neck veins (E) from low venous pressure. Bradycardia (
B) is uncommon and pale yellow urine (
C) suggests hydration not dehydration.
Question 2 of 5
Among the following,which is not a clinical finding of a severely dehydrated patient?
Correct Answer: B
Rationale: Pitting edema (
B) indicates fluid overload not dehydration. Skin pallor and cool skin (
A) tachycardia with thready pulse (
C) high urine specific gravity (E) and hypernatremia (F) are dehydration signs. Lung crackles (
D) suggest fluid overload or lung issues not dehydration.
Question 3 of 5
The nurse is caring for a client who has a bowel obstruction and a new prescription for the insertion of a nasogastric tube. Which of the following interventions should the nurse take when inserting the nasogastric tube?
Correct Answer: C
Rationale: Chin-to-chest and swallowing (
C) facilitate NG tube passage by opening the esophagus. Supine position (
A) risks aspiration withdrawing for gagging (
B) is unnecessary and measuring to the umbilicus (D E) is incorrect; use nose-earlobe-xiphoid.
Question 4 of 5
A nurse is caring for a 20-year-old college student with a 2-year history of bulimia nervosa. The student tells the nurse,I know my eating binges and vomiting are not normal, but I can't do anything about them. What would be a therapeutic response from the nurse?
Correct Answer: D
Rationale: Acknowledging helplessness (D E) validates the client’s emotions and fosters dialogue. Condemning (
A) increases guilt questioning causes (
B) is premature and praise (
C) may reinforce shame.
Question 5 of 5
A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Hypothermia is not a typical finding in a client who has had diarrhea for several days. Diarrhea does not typically affect the body’s ability to regulate temperature.Dehydration is a common finding in a client who has had diarrhea for several days. Diarrhea can lead to significant fluid and electrolyte loss, causing dehydration.Decreased bowel sounds are not typically associated with diarrhea. In fact, hyperactive bowel sounds are more common due to increased intestinal motility.A rigid abdomen is not a typical finding in a client who has had diarrhea for several days. A rigid abdomen may indicate a serious condition such as peritonitis or bowel obstruction, which are not typically associated with diarrhea