ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 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 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 home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: The correct answers are A, B, and D. A indicates understanding of fire safety, B shows awareness of medication safety, and D demonstrates knowledge of fall prevention. Option C is incorrect because setting the hot water heater to 140 degrees Fahrenheit is too hot and can cause burns. Option E is incorrect because taping over frayed electrical cords is not safe and can lead to electrical hazards.
Question 4 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: During the alarm reaction stage of general adaptation syndrome, the body responds to stress by activating the fight-or-flight response. Dilated pupils occur as part of this response to enhance visual acuity and peripheral vision, preparing the individual for potential threats. This physiological change helps the person to be more aware and ready to react quickly in a stressful situation.
Choices B, C, and D are incorrect because physical exhaustion, bradycardia (slow heart rate), and depression are manifestations that are not typically associated with the alarm reaction stage. Physical exhaustion may occur in the exhaustion stage, bradycardia is not a typical response to stress, and depression is a psychological response that may occur in the resistance or exhaustion stages.
Question 5 of 5
A nurse is preparing a medication from a vial for a subcutaneous injection for a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Hold the syringe so that bubbles collect at the level of the plunger. This is important to prevent air bubbles from being injected into the client, as they can cause harm. By holding the syringe in a way that allows any air bubbles to collect at the top near the plunger, the nurse can easily push them out before administering the medication.
Choice A is incorrect because injecting air into the vial with the needle immersed in the fluid can introduce air bubbles into the vial.
Choice B is incorrect as holding the syringe at a 45° angle does not specifically address the issue of air bubbles.
Choice D is incorrect as holding the vial with the top facing upward while injecting air can lead to air bubbles being pushed into the vial instead of out.