ATI RN
ATI RN Fundamentals 2023 Exam 5 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: The correct answer is C: Postural hypotension. In extracellular fluid volume deficit, there is a decrease in circulating blood volume, leading to decreased blood pressure upon standing. Dependent edema (
A) is more commonly associated with fluid volume excess. Distended neck veins (
B) are seen in fluid volume overload. Bradycardia (
D) is not a typical finding in extracellular fluid volume deficit. In summary, postural hypotension is the expected finding due to decreased blood volume, making it the correct choice.
Question 2 of 5
A nurse is caring for a postoperative client. Which of the following findings indicate the client may be actively bleeding?
Correct Answer: B
Rationale: The correct answer is B: Restlessness. Restlessness can be a sign of hypovolemic shock due to active bleeding postoperatively. This is because the body is trying to compensate for the decreased blood volume. Bounding pulses, warm skin, and brisk capillary refill are signs of good perfusion and not indicative of active bleeding.
Question 3 of 5
A nurse is teaching a group of older adult clients about medication safety. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D - "My medications could interact with foods that I eat."
Rationale:
1. Medications can interact with foods: Some medications can have interactions with certain foods, affecting their effectiveness or causing side effects.
2. Importance of awareness: Being aware of potential food-drug interactions is crucial to ensure medication safety and effectiveness.
3. Client safety: Understanding the possibility of food-medication interactions shows the client's comprehension of medication safety, indicating responsible behavior.
Summary of Incorrect
Choices:
A: Incorrect - Not informing the doctor about herbal supplements can lead to potential drug interactions.
B: Incorrect - Past use of medications does not guarantee immunity to allergic reactions; precautions are still necessary.
C: Incorrect - Stopping medication abruptly can be dangerous; consulting a healthcare provider is crucial.
Question 4 of 5
A nurse on a surgical unit is caring for a client who is scheduled for surgery. The client states, 'I cannot do this. I do not want this surgery.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Let the client know that their surgeon will be notified of their decision. This action respects the client's autonomy and ensures that the healthcare team is informed about the client's decision in a timely manner. It allows for further discussion or exploration of alternatives before proceeding with the surgery.
Choice A: Telling the client about the benefits of the surgery may be considered coercive and does not address the client's concerns or wishes.
Choice C: Reassuring the client without acknowledging their concerns may invalidate their feelings and does not address the client's decision to refuse surgery.
Choice D: Informing the client that it is too late to stop the surgery disregards the client's autonomy and right to make decisions about their own healthcare.
Question 5 of 5
A nurse is conducting a health assessment for a client who takes herbal supplements. Which of the following statements by the client indicates an understanding of the use of the supplements?
Correct Answer: B
Rationale: The correct answer is B: I use ginger when I get car sick. This statement shows an understanding of the specific purpose of the supplement, as ginger is commonly used for nausea and motion sickness. The other choices indicate a misunderstanding of the herbal supplements' purposes: A is not typically used for menopausal symptoms, C is not a common remedy for headaches, and D is not known for controlling cholesterol. It is crucial for clients to have accurate knowledge of the supplements they are taking to ensure safe and effective use.