ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: The correct answer is B: Thirst. Hyperglycemia leads to increased glucose levels in the blood, causing the body to try to dilute the sugar by increasing urination, leading to dehydration and thirst. Confusion (
A) can indicate hypoglycemia, not hyperglycemia. Cold skin (
C) and shakiness (
D) are not specific signs of hyperglycemia.
Question 2 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The correct answer is C. Alanine aminotransferase (ALT) is an enzyme found predominantly in the liver. Elevated ALT levels indicate liver damage or disease.
Therefore, by checking ALT levels, the test provides information about the function of the liver.
Choice A is incorrect because ALT is not related to kidney function.
Choice B is incorrect because ALT does not assess heart function.
Choice D is incorrect because ALT does not indicate the risk of developing blood clots.
Question 3 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Verify the count total of the controlled substance after removing the amount needed. This is crucial to ensure accurate documentation and prevent errors in medication administration. By verifying the count total after removing the needed amount, the nurse confirms that the correct dosage has been withdrawn and prevents any discrepancies in the controlled substance inventory.
Option A is incorrect because wasting the unused portion of the controlled substance should be witnessed by another nurse, not just the signature recorded. Option B is incorrect as reporting discrepancies in the count total should be done before administration, not after. Option C is incorrect as wasted portions of controlled substances should be disposed of according to facility policy, not necessarily in a sharps container.
Question 4 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased sense of balance. As people age, their sense of balance tends to decrease due to changes in vision, inner ear function, muscle strength, and joint flexibility. This can increase the risk of falls and injuries in older adults. The other choices are incorrect because heightened sense of pain (
A) is not a typical finding in older adults, increased nighttime sleeping (
C) may occur but it is not a universal finding, and nighttime urinary incontinence (
D) is common but not a definitive finding in all older adults.
Question 5 of 5
A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?
Correct Answer: C
Rationale: The correct answer is C: Occupational therapist. The nurse should consult an occupational therapist because they specialize in helping individuals regain independence in activities of daily living (ADLs) after a stroke. They focus on improving fine motor skills, cognitive abilities, and adaptive techniques to help the client perform self-care tasks. Physical therapists (choice
A) primarily work on mobility and strength, while registered dietitians (choice
B) focus on nutrition. Speech-language pathologists (choice
D) address communication and swallowing difficulties, which are not directly related to assisting with ADLs.
Therefore, consulting an occupational therapist is the most appropriate choice in this scenario.