Questions 54

ATI RN

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ATI Fundamentals Quiz Questions

Extract:


Question 1 of 5

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Correct Answer: A,D,E

Rationale: Crackles, bounding pulse, and pitting edema indicate fluid volume excess due to pulmonary edema, increased blood volume, and fluid retention, respectively.

Question 2 of 5

To what is a person referring when during an interview the person says,"I am a member of the sandwich generation?

Correct Answer: B

Rationale: Has both older and younger siblings: This does not specifically relate to the 'sandwich generation' concept. Cares for children and aging parents at the same time: The term 'sandwich generation' refers to individuals who are simultaneously caring for their own children and their aging parents. There is a role reversal between parents and self: While this may occur in caregiving situations, it doesn't define the 'sandwich generation.' Assists own parents and spouse's parents: This is similar to option B but specifically refers to assisting one's own parents and the spouse's parents, not necessarily at the same time.

Question 3 of 5

A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?

Correct Answer: B

Rationale: Respiratory therapists specialize in airway management, including tracheostomy care, making them the appropriate referral for tracheostomy management.

Question 4 of 5

The adult child of an older adult calls the nurse practitioner to report that the parent is becoming very confused after dark. What is this type of confusion named?

Correct Answer: C

Rationale: Cognitive dysfunction: This is a broad term that includes various types of cognitive impairment. Alzheimer's disease: This is a specific type of dementia, but it doesn't specifically describe the timing of confusion. Sundowning syndrome: This term describes increased confusion and agitation in the late afternoon and evening. It's commonly seen in individuals with dementia. Night-time confusion: This is a general term and doesn't specifically relate to the characteristic pattern of sundowning.

Question 5 of 5

A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is $85 \%$. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Administer oxygen at $2 \mathrm{~L} / \mathrm{min}$ : Administering oxygen is important but should be done after positioning the client to improve natural ventilation. Raise the head of the bed: Raising the head of the bed is the first action to take as it facilitates better lung expansion and improves ventilation. This can help increase the oxygen saturation more immediately and effectively. Encourage coughing and deep breathing: Encouraging coughing and deep breathing is also beneficial to help clear secretions and improve lung function, but positioning the client for optimal breathing should be prioritized first. Administer prescribed analgesic medication. Administering analgesics may be necessary for pain management, but it does not directly address the immediate need to improve oxygen saturation.

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