ATI RN
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ATI Fundamental Exams Questions
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Question
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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: Placing clean linen that touched the floor in the soiled linen bag prevents cross-contamination and maintains cleanliness. It adheres to infection control standards by ensuring that only soiled items are disposed of appropriately. Placing soiled linen on the floor increases the risk of spreading pathogens. Holding soiled linen against the body risks transferring pathogens to the caregiver’s clothing. Shaking soiled linen disperses infectious particles, increasing contamination risk.
Question 2 of 5
A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?
Correct Answer: C
Rationale: The cane’s height should be at the level of the wrist when the arm is hanging naturally, corresponding to the greater trochanter (hip bone), ensuring proper support and reducing strain. Advancing the weak leg first is incorrect; the cane and weak leg move together. Advancing 12-14 inches is too far; 6-10 inches is appropriate. The cane is held in the stronger hand.
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: Hyponatremia (sodium <135 mEq/L) causes cellular swelling, leading to neurological symptoms like nausea and vomiting. Flushed skin and thirst are associated with hypernatremia, and fever is unrelated to hyponatremia.
Question 4 of 5
A nurse is caring for a client who has a history of dementia. The client is alert and oriented to person, place, and time, and has advance directives. The client is scheduled for a procedure that requires informed consent. Which of the following persons should sign the informed consent?
Correct Answer: B
Rationale: The client, being alert and oriented with decision-making capacity, should sign the informed consent. Caregivers, partners, or those with power of attorney only sign if the client lacks capacity.
Question 5 of 5
A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?
Correct Answer: B
Rationale: Sudden interruption of TPN can cause hypoglycemia due to halted glucose infusion, leading to shakiness and diaphoresis. Thirst and urination indicate hyperglycemia, hypertension and crackles suggest fluid overload, and fever and chills indicate infection, not directly related to TPN cessation.