ATI RN
ATI 110 Fundamentals Exam 1 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Fluid overload causes hypertension, tachypnea, and tachycardia due to increased vascular volume and cardiac workload. Hematocrit decreases, and temperature is unaffected.
Question 2 of 5
A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?
Correct Answer: B
Rationale: Inability to accept loss after 3 years indicates prolonged grief, persisting beyond normal grieving. Uncomplicated resolves sooner, anticipatory is pre-loss, and disenfranchised is unsupported.
Question 3 of 5
A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A high-calorie, high-protein diet supports skin integrity and healing. High bed elevation risks shearing, massaging damages tissue, and repositioning should be every 2 hours.
Question 4 of 5
A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?
Correct Answer: C
Rationale: Passive ROM maintains or increases joint flexibility in immobile clients. It doesn’t build muscle mass, bone density, or strength, which require active exercise.
Question 5 of 5
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the 'E' in the NURSE mnemonic?
Correct Answer: A
Rationale: The 'E' (Empathy) in NURSE reflects the client’s feelings, e.g., 'exhausted' for overwhelmed. Others offer help, prompt elaboration, or praise, not empathy.