ATI RN
ATI Ns 117 Fundamentals Exam Questions
Extract:
Vital Signs
Day 1
• Temperature 38 °C (100.4oF)
• BP 118/72 mm Hg
• Heart rate 90/min
• Respiratory rate 18/min
• Oxygen saturation 95% on room air
Day 2:
• Temperature 38.5°C (101.3 oF)
• BP 108/74 mm Hg
• Heart rate 92/min
• Respiratory rate 18/min
• Oxygen saturation 88% on room air
Nurses’ Notes
• Mucous membranes pink, skin warm and dry.
• Coughing and clearing throat when eating.
• Voice hoarse after swallowing.
• Bilateral breath sounds with wheezing heard in upper lobes.
Question 1 of 5
A nurse is assisting with the care of a client who had a stroke.Select all the findings that require immediate follow-up. .
Correct Answer: A,B,C,D,E
Rationale: Coughing and hoarseness indicate dysphagia and aspiration risk, requiring speech therapy evaluation. Elevated temperature suggests possible infection, wheezing indicates respiratory compromise, and 88% oxygen saturation requires immediate intervention like supplemental oxygen.
Extract:
Question 2 of 5
A nurse is assisting with teaching a client about nutritional supplements. Which of the following supplements is used to reduce the risk of birth defects in neonates? A. Vitamin D B. Omega-3 fatty acids C. Lutein D. Folic acid Which of the following supplements is used to reduce the risk of birth defects in neonates?
Correct Answer: D
Rationale: Folic acid reduces neural tube defects in neonates. Vitamin D aids bone health, omega-3 supports brain development, and lutein supports eye health.
Question 3 of 5
A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include? A. Apply lotion between the toes. B. Wash feet in hot water. C. Avoid walking barefoot D. Wear open-toed shoes Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Avoiding barefoot walking prevents injuries due to reduced sensation. Lotion between toes risks infection, hot water can burn, and open-toed shoes expose feet.
Question 4 of 5
A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of beneficence? A. A nurse gives a client the choice to take a pain medication via intramuscular or oral route. B. A nurse provides nonpharmacological pain interventions to each client equally. C. A nurse fulfills a promise to a client that they will return with their pain medication. D. A nurse administers scheduled pain medication for a client who is having pain. Which of the following is an example of beneficence?
Correct Answer: D
Rationale: Beneficence involves acting in the client’s best interest, like relieving pain with medication.
Choice A is autonomy, B is justice, and C is fidelity.
Question 5 of 5
A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions? A. Libel B. Slander C. Battery D. Falsification Which of the following terms describes the nurse's actions?
Correct Answer: D
Rationale: Falsification involves documenting false information, as the nurse did not take the heart rate. Libel and slander involve defamation, and battery involves physical harm.