ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has end-stage kidney disease (ESKD) and reports having shortness of breath and swelling in his lower extremities. Upon assessment, the nurse notes the client has crackles in his lungs and an elevated blood pressure. The nurse should suspect which of the following based on the client’s manifestations?
Correct Answer: C
Rationale: Symptoms suggest fluid overload (hypervolemia) due to ESKD-related fluid retention.
Question 2 of 5
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
Correct Answer: A
Rationale: Aspirin’s antiplatelet action reduces clot formation in MI patients.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating?
Correct Answer: B,D,E
Rationale: Stroke, head/neck trauma, and recent anesthesia impair swallowing, increasing aspiration risk.
Question 4 of 5
A nurse is caring for a client who has returned to the unit following a surgical procedure. The client’s oxygen saturation is 85%. Which action should the nurse take first?
Correct Answer: B
Rationale: Raising the bed improves lung expansion, addressing low oxygen saturation.
Question 5 of 5
The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?
Correct Answer: B
Rationale: Blood in the stool is abnormal and suggests potential gastrointestinal bleeding, requiring immediate reporting.