ATI RN
ATI RN Fundamentals 2023 Questions
Extract:
Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client does not drink alcohol.
Diagnostic Results
Initial visit:
• Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+ D3) 24 ng/dL (25 to 80 ng/dL)
6-month follow-up:
• Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+D) 15 ng/dL (25 to 80 ng/dL)
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
6-month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.
Question 1 of 5
A nurse in a provider's office is caring for a client. Exhibits:The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
Correct Answer: C,F
Rationale: Lactose intolerance doesn’t directly cause osteoporosis. No smoking or alcohol use reported. Low vitamin D and sedentary lifestyle increase osteoporosis risk by reducing bone density.
Extract:
Question 2 of 5
A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Turning the client onto their side helps prevent aspiration but since the client is seated, the priority is to prevent falls by helping them lie on the floor. Loosening clothing and moving items are important but secondary to ensuring the client is in a safe position.
Extract:
A nurse is caring for a client.
Vital Signs
0800:
Temperature 37.6° C (99.7 F) Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min
Pulse oximetry 97% on room air 0830:
Temperature 37.5° C (99.5° F) Blood pressure 88/56 mm Hg Heart rate 104/min Respiratory rate 24/min
Pulse oximetry 93% on room air Nurses' Notes
0800:
Antibiotic administered as prescribed.
Bilateral breath sounds clear and present throughout. 0830
Client reports itching over the chest area and has urticaria over chest and trunk.
Client states tongue feels swollen
Question 3 of 5
Bilateral breath sounds with scattered wheezing upon auscultation, Select the 4 findings that require immediate follow-up.
Correct Answer: B,D,E,F
Rationale: Elevated heart rate is concerning but less urgent. Dropping blood pressure, urticaria, swollen tongue, and wheezing indicate anaphylaxis, requiring immediate intervention.
Extract:
Question 4 of 5
A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?
Correct Answer: C
Rationale: Transfusion without consent is battery. Preventing leaving is false imprisonment. Administering medication without identification breaches duty of care, constituting negligence. Discussing care publicly is a confidentiality breach.
Question 5 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Elevating full-length side rails on both sides of the client's bed is not recommended, as it can increase the risk of injury if the client tries to climb over them or gets trapped between them. Placing the bedside table 0.9 m away is unrelated to fall prevention. A night light can help the client see better in the dark and avoid tripping or falling over objects. Maintaining the room temperature is important for comfort but doesn't directly prevent falls.