ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?
Correct Answer: C
Rationale: The correct answer is C: Decrease in heart rate. Administering 0.9% sodium chloride helps to restore fluid volume in a client with fluid deficit. As the fluid level increases, the heart doesn't have to work as hard to pump blood, leading to a decrease in heart rate. This change indicates that the treatment was successful as it shows improvement in the client's condition.
Other choices are incorrect because:
A: Increase in hematocrit - This would indicate dehydration rather than successful treatment.
B: Increase in respiratory rate - This could suggest respiratory distress, not successful treatment for fluid volume deficit.
D: Decrease in capillary refill time - While this is a good indicator of perfusion, it may not directly reflect the success of fluid resuscitation in this scenario.
Question 2 of 5
A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?
Correct Answer: A
Rationale: The correct answer is A because advocacy in nursing is about actively supporting and promoting clients' safety, health, and rights. Nurses advocate for their clients to ensure they receive the best possible care and are empowered to make informed decisions about their health. Advocacy is not about nurses explaining their actions (
B), following through on promises (
C), or ensuring fairness in care delivery (
D). Advocacy focuses on the client's well-being and ensuring their rights are protected.
Question 3 of 5
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Subtract the amount of irrigant used from the client's urine output. This is important because when using an open irrigation technique, the nurse needs to account for the amount of irrigant introduced into the catheter to ensure accurate monitoring of urine output. By subtracting the amount of irrigant used from the total urine output, the nurse can accurately assess the client's true urine output.
Choice A is incorrect because placing the client in a semi-lying position is not directly related to the irrigation technique.
Choice B is incorrect as instilling a specific amount of 15 mL of irrigation fluid with each flush is not a standard practice for open irrigation technique.
Choice D is incorrect as the size of the syringe used for irrigation is not specified in standard guidelines.
Question 4 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: A, B, C, E
Rationale: The correct choices are A, B, C, and E.
A) Wearing an N95 mask is essential for respiratory protection.
B) Placing a container for soiled linens in the room prevents contamination.
C) Isolating the client in a negative airflow room helps prevent the spread of airborne pathogens. E) Wearing a sterile water-resistant gown within 3 feet of the client reduces the risk of contact transmission.
D) Removing the mask after exiting the room increases the chance of self-contamination. Thus, D is incorrect. Option F and G are not provided in the question.
Question 5 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale:
Rationale:
Choice A is correct as documenting the provider's instructions in the medical record ensures clear communication and accountability. This helps track the client's condition and the actions taken.
Choices B, C, and D are incorrect as they do not address the immediate need to follow the surgeon's instructions. The priority is to ensure the client's vital signs are monitored as directed.