ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
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 1 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.
Extract:
Question 2 of 5
A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct answer is C. The nurse should inform the client that their desire to be an organ donor must be documented in writing. This is important because in most countries, including the US, consent for organ donation must be explicitly stated and documented for it to be legally valid. By documenting the desire to be an organ donor in writing, the client ensures that their wishes are known and can be respected in the event of their passing. This also helps to facilitate the organ donation process and ensures that the client's wishes are honored.
Choice A is incorrect because the nurse can certainly provide information and guidance on organ donation, including how to consent to it.
Choice B is incorrect as there is no specific age requirement to become an organ donor.
Choice D is incorrect as individuals can choose to remove themselves from the organ donor list at any time.
In summary, choice C is the correct response as it emphasizes the importance of documenting the desire to be an organ donor in writing to ensure the client's wishes are honored
Question 3 of 5
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Make sure two fingers can fit under the sleeves. This is important to ensure proper circulation and prevent undue pressure on the client's legs. If the sleeves are too tight, it can lead to decreased blood flow and potential complications like deep vein thrombosis.
Choice A is incorrect because placing the client in a prone position is not necessary for using sequential compression sleeves.
Choice B is incorrect as the opening of the sleeve should be at the foot, not the knee.
Choice D is incorrect as the ankle pressure should typically be set according to the specific manufacturer's guidelines, not a fixed value of 65 mm Hg.
Question 4 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. This is important because high flow rates can lead to oxygen toxicity. Nasal cannula at 6 L/min is a common practice to ensure adequate oxygen delivery without causing harm.
Choice A is incorrect because the ball inside the flow meter is not used to regulate oxygen flow.
Choice C is incorrect as the reservoir bag of a partial rebreathing mask should be inflated to ensure adequate oxygen supply.
Choice D is incorrect because petroleum jelly should not be used near oxygen equipment due to flammability risks.
Question 5 of 5
A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
Correct Answer: D
Rationale: The correct answer is D: "You don't have to go through with the treatment." This response respects the client's right to change their mind even after giving initial consent. It upholds the principle of autonomy and informed decision-making in healthcare.
Choices A and B do not acknowledge the client's right to withdraw consent and could potentially pressure the client.
Choice C, while empathetic, does not address the client's statement directly. Summarily, choices A, B, and C do not prioritize the client's autonomy and respect for their decision-making.