ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to blood in the urine (hematuria). This occurs due to the damaged glomerular filtration membrane allowing red blood cells to leak into the urine. Oliguria is not typically seen in acute glomerulonephritis as the kidneys are still able to produce urine, albeit with blood in it. Hypotension is not a common finding as glomerulonephritis often presents with hypertension due to fluid retention. Weight loss (
Choice
C) is unlikely since fluid retention is more common. Hematuria (
Choice
D) is the hallmark sign of acute glomerulonephritis due to the inflammation and damage to the glomeruli.
Question 2 of 5
A nurse is caring for a client whose partner recently died. The nurse sits with the client to provide comfort. Which of the following ethical principles is the nurse demonstrating?
Correct Answer: D
Rationale: The correct answer is D: Beneficence. Beneficence is the ethical principle of doing good and acting in the best interest of the client. In this scenario, the nurse is demonstrating beneficence by providing comfort and support to the client who is grieving the loss of their partner. The nurse's actions are aimed at benefiting the client's emotional well-being.
Rationale for why the other choices are incorrect:
A: Fidelity refers to being faithful or loyal to commitments and promises. Sitting with the client in this scenario is not about loyalty but rather about providing emotional support.
B: Veracity relates to truth-telling and honesty. While important, it is not the primary ethical principle being demonstrated in this scenario.
C: Autonomy is the principle that respects the client's right to make their own decisions. While important, in this case, the nurse is providing support rather than focusing on the client's decision-making.
E, F, G: These choices are not provided, but based
Question 3 of 5
A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Examine personal values about the issue. The nurse should reflect on their own values and beliefs to ensure they can provide nonjudgmental care. It is important to respect the parents' decision based on their religious beliefs.
Choice B is incorrect as it disregards the parents' autonomy.
Choice C is incorrect as consent is required for medical procedures.
Choice D is incorrect as it may not be respectful of the parents' beliefs. The nurse should prioritize understanding and respecting the parents' decision while ensuring the child's well-being.
Question 4 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure her blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale:
Correct Answer: C. "I should remove constrictive clothing prior to measuring my blood pressure."
Rationale: Removing constrictive clothing ensures accurate blood pressure readings by preventing interference with blood flow. Tight clothing can artificially elevate blood pressure readings. By removing constrictive clothing, the client allows for an accurate assessment of their blood pressure.
Choice A: Waiting 15 minutes after drinking coffee is not directly related to obtaining an accurate blood pressure reading. Caffeine intake can temporarily raise blood pressure, but waiting 15 minutes may not be sufficient to eliminate its effects.
Choice B: Measuring blood pressure with the arm elevated above the heart is not a recommended method for accurate readings. The arm should be supported at heart level for accurate measurements.
Choice D: Measuring blood pressure immediately after eating breakfast can lead to inaccurate readings. It is recommended to wait at least 30 minutes after consuming a meal before measuring blood pressure for accurate results.
Question 5 of 5
A nurse is setting up a sterile field to perform wound irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solution?
Correct Answer: A
Rationale: The correct answer is A because removing the cap and placing it sterile-side up on a clean surface helps maintain the sterility of the solution. Placing the cap sterile-side up prevents contamination of the inside of the cap. This action ensures that the contents of the bottle remain sterile while allowing easy access to the solution during the procedure.
In contrast, option B is incorrect because placing sterile gauze over spilled solution within the sterile field may introduce non-sterile material into the field. Option C is incorrect as holding the bottle in the center of the sterile field may increase the risk of accidental contamination. Option D is incorrect because holding the irrigation solution bottle with the label facing away from the palm of the hand does not ensure the sterility of the solution.