ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is observing an assistant personnel (AP) changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control?
Correct Answer: B
Rationale: Correct answer: B. The AP places clean linen that touched the floor in the soiled linen bag. This action indicates understanding of infection control principles as it prevents cross-contamination. Clean linens that have touched the floor can harbor bacteria and should not be used on the client. Placing them in the soiled linen bag ensures they are not mistakenly reused.
Incorrect choices:
A: Placing soiled linen on the floor increases the risk of spreading pathogens.
C: Holding soiled linen against the body can transfer bacteria to clothing and skin.
D: Shaking soiled linen can release bacteria into the air, increasing the risk of contamination.
Question 2 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answer is C, D, and E. Fluid overload leads to an increase in circulating volume, causing the heart to work harder, resulting in an increased heart rate (
C).
To compensate for the excess fluid, the body increases respiratory rate (
D) to eliminate the excess fluid through the lungs. Additionally, fluid overload can lead to an increase in blood pressure (E) due to the increased volume in the circulatory system.
Incorrect
Choices:
A: Increase hematocrit - Fluid overload dilutes blood, leading to a decrease in hematocrit, not an increase.
B: Increased temperature - Fluid overload does not directly affect body temperature; this finding is not related to fluid overload.
Question 3 of 5
A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Nausea and vomiting. A sodium level of 116 mEq/L indicates hyponatremia, which can lead to neurological symptoms like nausea and vomiting due to brain cell swelling. Flushed skin (
A) and fever (
B) are not typically associated with hyponatremia. Extreme thirst (
D) is more commonly seen in hypernatremia, not hyponatremia.
Question 4 of 5
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). The nurse should expect which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Difficulty starting the flow of urine. This is expected in clients with benign prostatic hyperplasia (BPH) due to the enlargement of the prostate gland, which can obstruct the flow of urine from the bladder. This occurs as the urethra is compressed by the enlarged prostate, leading to difficulty initiating urination. Painful urination (choice
A) is not typically associated with BPH but could be a sign of a urinary tract infection. Urge incontinence (choice
B) is more commonly seen in conditions like overactive bladder. A critically elevated PSA level (choice
C) may indicate prostate cancer, not BPH.
Therefore, the correct finding to expect in a client with BPH is difficulty starting the flow of urine.
Question 5 of 5
A home health nurse is teaching about endotracheal suctioning. Which of the following information should the nurse include in the teaching?
Correct Answer: A,C
Rationale: The correct answers are A and C. A nurse should allow the client to rest for 10-15 seconds after each suctioning attempt to prevent hypoxia and decrease the risk of mucosal damage. Applying suction for less than 10 seconds helps prevent hypoxia and reduces the risk of trauma to the airway.
Choice B is incorrect because the recommended suction pressure is 80-120 mm Hg.
Choice D is incorrect because suction should only be applied when withdrawing the catheter.