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. In acute glomerulonephritis, there is inflammation of the glomeruli in the kidneys leading to blood in the urine. This is because the damaged glomeruli allow red blood cells to leak into the urine, causing hematuria. Oliguria (
A) is decreased urine output, which can occur due to decreased kidney function but is not a specific finding of acute glomerulonephritis. Hypotension (
B) is not typically associated with glomerulonephritis unless there are severe complications. Weight loss (
C) is more commonly seen in chronic kidney disease rather than acute glomerulonephritis. Hematuria is the hallmark finding in acute glomerulonephritis due to the inflammatory damage to the glomeruli.
Question 2 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 3 of 5
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action is to check the client for injuries first. This is crucial to assess the immediate physical condition of the client and determine the severity of any potential harm. This step ensures timely intervention and appropriate care. Moving hazardous objects (
B) is important, but not the first priority. Notifying the provider (
C) can be done after ensuring the client's safety. Asking the client about how she felt (
D) can wait until the immediate safety concerns are addressed.
Question 4 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D. Reassure the client that this is an expected response to grief.
Rationale: Expressing anger is a common response to receiving a cancer diagnosis. By reassuring the client that anger is a normal part of the grieving process, the nurse validates the client's feelings and provides emotional support. This can help the client feel understood and more at ease. Discussing risk factors (
A) may not address the client's immediate emotional needs. Focusing on future management (
B) may be overwhelming at this stage. Providing written information about loss and grief (
C) may not directly address the client's anger.
Extract:
Laboratory Results 1200: Hgb 9.5 g/dL (14 to 18 g/dL)
Hct 38% (42% to 52%) Bilrubin 5.3 mg/dl (0.3 to 1.0 mg/dL) [ instruct the client to avoid blowing their nose forcefully.
Creatinine 1.8 mg/dL (0.6 to 1.3 mg/dL) [ Assess the dlent’s level of oientation
Platelet count 100,000/mm? (150,000 to 400,000/mm?)
[ Place the client under contact isolation.
1800:
Alanine aminotransferase ALT 51 units/L (4 to 36 units/L) Aspartate aminotransferase AST 48 units/L (0 to 35 units/L)
Alkaline phosphate ALP 151 units/L (30 to 120 units/L) Blood total protein 15 g/dL (6.4 to 8.3 g/dL
Question 5 of 5
A nurse is caring for a client who has been admitted to the hospital. Select the 5 actions the nurse should take?
Correct Answer: A,B,C,E,F
Rationale:
Correct Answer: A,B,C,E,F
Rationale:
A: Providing frequent rest periods aids in the client's recovery and prevents fatigue.
B: Restricting sodium intake is crucial for clients with certain conditions like hypertension.
C: Avoiding soap and alcohol-based lotions can prevent skin irritation, especially for sensitive skin.
E: Blowing nose forcefully can cause ear issues, so advising against it is essential.
F: Assessing orientation helps monitor the client's cognitive status and detect any changes early.
Summary:
D: There is no indication in the scenario to place the client on a low-carbohydrate diet.
G: Option G is missing, so it cannot be considered as a valid action in this context.