Questions 85

ATI RN

ATI RN Test Bank

ATI Fundamental Exams Questions

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Question 1 of 5

A nurse is assessing a client who has obstructive sleep apnea. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Morning headaches are common in obstructive sleep apnea due to intermittent hypoxia and hypercapnia. Nausea, hypotension, and constipation are not typical findings.

Question 2 of 5

A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?

Correct Answer: C

Rationale: Elevating the head of the bed 30° to 45° is the priority to prevent aspiration by promoting drainage of stomach contents away from the airway, critical for a client with decreased consciousness. Other actions are important but secondary.

Question 3 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: B

Rationale: Sudden interruption of TPN can cause hypoglycemia due to halted glucose infusion, leading to shakiness and diaphoresis. Thirst and urination indicate hyperglycemia, hypertension and crackles suggest fluid overload, and fever and chills indicate infection, not directly related to TPN cessation.

Question 4 of 5

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

Correct Answer: D

Rationale: A weak pulse is a primary manifestation of hypovolemia due to reduced circulating blood volume, leading to decreased perfusion pressure. Hypovolemia causes hypotension, tachycardia, and possibly dyspnea in severe cases, but weak pulse is most direct.

Question 5 of 5

A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?

Correct Answer: C

Rationale: The cane’s height should be at the level of the wrist when the arm is hanging naturally, corresponding to the greater trochanter (hip bone), ensuring proper support and reducing strain. Advancing the weak leg first is incorrect; the cane and weak leg move together. Advancing 12-14 inches is too far; 6-10 inches is appropriate. The cane is held in the stronger hand.

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