ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is admitting a client who reports anorexia and is experiencing malnutrition. Which of the following laboratory findings should the nurse expect to be altered?
Correct Answer: D
Rationale: The correct answer is D: Albumin. Albumin is a protein synthesized by the liver and is a marker for nutritional status. In cases of malnutrition, albumin levels decrease due to inadequate protein intake. This decrease in albumin indicates poor nutritional status and can lead to various complications.
A: Troponin is a marker for heart damage, not related to malnutrition.
B: Creatine kinase is an enzyme associated with muscle damage, not directly affected by malnutrition.
C:
Total bilirubin is related to liver function and not a specific indicator of malnutrition.
Question 2 of 5
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following situations requires that the nurse wear gloves?
Correct Answer: A,B,E
Rationale: Providing oral care (
A) requires gloves to prevent the transmission of microorganisms through contact with saliva and oral secretions. Emptying urine from an indwelling urine collection bag (
B) involves potential exposure to bodily fluids. Changing an ostomy pouch (E) necessitates gloves to maintain aseptic technique. Placing oral medication tablets into a client's hand (
C) does not require gloves as the tablets are not considered a source of infection. Delivering a food tray to a client who has AIDS (
D) does not inherently require gloves unless there is contact with bodily fluids.
Question 3 of 5
A nurse is caring for a client who has an indwelling urinary catheter and notes blood-tinged urine in the catheter bag. The nurse recognizes this finding can be a manifestation of which of the following urinary alterations?
Correct Answer: D
Rationale: The correct answer is D: Prostate enlargement. Blood-tinged urine in a client with an indwelling urinary catheter can be a manifestation of prostate enlargement. The prostate gland may become enlarged and obstruct the flow of urine, leading to blood in the urine. This condition is known as hematuria. Dehydration (
A) typically presents with dark yellow urine, not blood-tinged. Pernicious anemia (
B) is a condition related to vitamin B12 deficiency, not urinary alterations. Bladder infection (
C) may cause cloudy or foul-smelling urine, but not necessarily blood-tinged.
Question 4 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: D
Rationale: The correct answer is D, shakiness and diaphoresis. When a client's TPN solution stops infusing, it can lead to a sudden drop in blood glucose levels, causing symptoms like shakiness and diaphoresis, which are indicative of hypoglycemia. The nurse should monitor for these signs as they can progress to serious complications such as seizures or loss of consciousness.
A: Hypertension and crackles - These symptoms are not directly related to TPN infusion interruption.
B: Fever and chills - These symptoms are more indicative of an infection rather than TPN infusion interruption.
C: Excessive thirst and urination - These symptoms are more suggestive of diabetes or dehydration, not TPN infusion interruption.
D: Shakiness and diaphoresis - Correct, as these are classic signs of hypoglycemia due to TPN interruption.
Question 5 of 5
When reviewing the admitting prescriptions for a client,the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct action for the nurse to take is to choose option D: Contact the provider to question the dosage. This is the best course of action because the nurse has identified a potential error in the prescription, as the dose is three times the usual amount. By contacting the provider, the nurse can clarify and confirm if the dosage is indeed correct or if there has been a mistake made. This ensures patient safety and prevents any potential harm from administering an incorrect dosage.
Option A is incorrect because the nurse should not solely rely on the pharmacy's confirmation without consulting the provider directly. Option B is not the best choice as it does not address the need to verify the dosage with the prescribing provider. Option C is unsafe as it involves administering a potentially incorrect dosage without clarification.