ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Exibit 1
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
Exibit 2
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 D + D) 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 D + D.) 15 ng/dL (25 to 80 ng/dL)
Exibit 3
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.
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. 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: B,D
Rationale: The correct answers are B and D. Vitamin D is essential for calcium absorption, which is crucial for bone health. Low levels of vitamin D can lead to decreased bone density and increase the risk of osteoporosis. Adequate physical activity helps in building and maintaining bone strength. Smoking (choice E) is a risk factor for osteoporosis as it can lead to decreased bone mass. Alcohol use (choice
A) can interfere with the body's ability to absorb calcium, contributing to bone loss. Lactose intolerance (choice
C) can lead to reduced calcium intake but does not directly increase osteoporosis risk. Phosphorus level (choice F) is important for bone health but is not a primary risk factor for osteoporosis.
Extract:
Question 2 of 5
A nurse is planning to change a client's tracheostomy ties. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Cut the old ties after the new ties are secured. This is the correct action because it ensures that the tracheostomy is always secured in place. By securing the new ties first, the nurse prevents accidental dislodgement of the tracheostomy tube during the tie change process. Cutting the old ties after securing the new ties maintains the stability of the tracheostomy and prevents any interruption in the client's breathing.
Choice A is incorrect because allowing space for three fingers under the ties may not provide adequate security for the tracheostomy.
Choice C is incorrect as using a quick-release knot may lead to accidental loosening of the ties.
Choice D is incorrect because extending the client's neck is unnecessary and may cause discomfort.
Question 3 of 5
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Eyelashes that curl slightly outward. This is expected during an eye assessment as it indicates normal eyelash growth direction. The other choices are incorrect because B: Corneas with an opaque appearance would suggest a problem such as cataracts, C: Pupils that are 8 to 9 mm in diameter are abnormally dilated, and D: Eyelids that blink involuntarily 30 to 35 times per minute would indicate a condition like blepharospasm.
Question 4 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: C
Rationale: The correct answer is C: Eat a light carbohydrate snack before bedtime. Carbohydrates can increase the production of serotonin, a neurotransmitter that helps regulate sleep. This can promote relaxation and aid in falling asleep. Napping during the day (choice
A) can make it harder to sleep at night. Exercising close to bedtime (choice
B) can increase alertness and make it difficult to fall asleep. Drinking hot cocoa (choice
D) can also contain caffeine, which can disrupt sleep.
Question 5 of 5
A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?
Correct Answer: B
Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Weight-bearing exercises, like walking, help improve bone density and prevent osteoporosis. Walking also helps strengthen muscles and improve balance, reducing the risk of falls and fractures. Performing water aerobics (choice
A) can be beneficial for overall health but may not have the same impact on bone density as weight-bearing exercises. Increasing intake of vitamin B12 (choice
C) is important for overall health but not specifically for osteoporosis prevention. Maintaining a lean body mass (choice
D) is beneficial, but the focus should be on weight-bearing exercises for osteoporosis prevention.