ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is assisting with the admission of a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have?
Correct Answer: D
Rationale: The correct answer is D: 24 mg/dL. BUN (Blood Urea Nitrogen) levels typically increase in dehydration due to reduced kidney perfusion. A BUN level of 24 mg/dL is higher than normal (7-20 mg/dL) and is indicative of dehydration.
Choice A (3.6 mg/dL) is too low for a dehydrated client.
Choice B (9 mg/dL) is within the normal range and not high enough for dehydration.
Choice C (18.7 mg/dL) is slightly elevated but may not be as indicative of dehydration as choice D.
Question 2 of 5
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?
Correct Answer: A
Rationale: The correct answer is A (116 mEq/L). A low serum sodium level indicates dilutional hyponatremia, which can occur in fluid volume excess. In this case, the client's symptoms of dyspnea, crackles, and pedal edema point towards fluid overload. A serum sodium level of 116 mEq/L reflects dilution due to excess fluid in the body, indicating fluid volume excess.
Choices B, C, and D have normal to high sodium levels, which do not correlate with fluid volume excess.
Therefore, A is the most appropriate choice based on the client's clinical presentation.
Question 3 of 5
A nurse is reviewing the medical record of a client who has a fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Urine output 15 mL/hr. In a client with fluid volume deficit, the body tries to conserve fluids by decreasing urine output. A urine output of 15 mL/hr indicates decreased renal perfusion and fluid conservation, which are common in fluid volume deficit.
Choices A, C, and D are within normal ranges and do not specifically indicate fluid volume deficit.
Choice A (BUN 12 mg/dL) is within the normal range and is not significantly altered in fluid volume deficit.
Choice C (Hct 43%) is also within normal range and may be elevated in dehydration, but not specific to fluid volume deficit.
Choice D (Urine specific gravity 1.020) is concentrated, but not definitive for fluid volume deficit.
Question 4 of 5
A nurse is reviewing the laboratory results of a client and notes a calcium level of 7.2 mg/dL. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Numbness of extremities. A calcium level of 7.2 mg/dL indicates hypocalcemia, which can lead to neuromuscular excitability and tingling sensations. Numbness of extremities is a common symptom of hypocalcemia due to its effect on nerve function. Hypoactive deep-tendon reflexes (choice
A) are associated with hypercalcemia, not hypocalcemia. Dry, sticky mucous membranes (choice
C) are more indicative of dehydration. Decreased bowel sounds (choice
D) may be seen in conditions affecting the gastrointestinal tract, but are not directly related to calcium levels.
Question 5 of 5
A nurse is caring for a client who has right-sided paralysis from a cerebral vascular accident (CVA). Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Use a footboard to maintain dorsiflexion of the feet. This is important for preventing foot drop, a common issue with right-sided paralysis post-CVA. By maintaining dorsiflexion, the nurse helps prevent contractures and promotes proper alignment of the feet. A soft mattress (
A) does not address the specific issue of foot drop. Positioning soft pillows against the bottom of the feet (
B) may not provide adequate support and dorsiflexion. Crossing the client's legs at the ankles (
D) is contraindicated as it can lead to pressure ulcers and further complications.