ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the client, the nurse should expect which of the following findings? Select all.
Correct Answer: B, C, D
Rationale: The correct answers are B, C, and D. Diarrhea leads to fluid loss, causing dehydration. Hypotension results from decreased blood volume. Fever may indicate infection causing diarrhea. Poor skin turgor is a sign of dehydration. Bradycardia (
A) is unlikely due to dehydration. Peripheral edema (E) is more associated with fluid retention, not dehydration.
Question 2 of 5
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all.
Correct Answer: A, B, C
Rationale:
Correct Answer: A, B, C
Rationale:
A: Warming the enema helps prevent cramping and discomfort during instillation.
B: Positioning the client on the left side with the right leg flexed forward helps facilitate easier insertion of the enema.
C: Lubricating the rectal tube or nozzle helps prevent injury and discomfort during insertion.
Incorrect
Choices:
D: Slowly inserting the rectal tube about 2 inches is incorrect as it may not be deep enough to reach the sigmoid colon.
E: Hanging the enema container 24 inches above the client's anus is incorrect as it may cause rapid flow leading to discomfort and cramping.
Question 3 of 5
A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all.
Correct Answer: A,B,E
Rationale: The correct answers are A, B, and E. Restlessness is an early indication of hypoxemia because the body is trying to compensate for decreased oxygen levels. Tachypnea (rapid breathing) is the body's response to hypoxemia to increase oxygen intake. Pallor is a sign of decreased oxygen saturation in the blood. Bradycardia and confusion are not typically early signs of hypoxemia, as the body usually increases heart rate to compensate for low oxygen levels, and confusion is a later sign indicating severe hypoxemia.
Question 4 of 5
A nurse is preparing a presentation about basic nutrients for a group of high school athletes. She should explain that which of the following is the body's priority energy reserve?
Correct Answer: D
Rationale: The correct answer is D: Carbohydrates. Carbohydrates are the body's priority energy reserve because they are easily broken down into glucose, which is the primary source of energy for the body's cells. When carbohydrates are consumed, they are converted into glycogen and stored in the muscles and liver for quick energy release. In contrast, fats are a more efficient long-term energy source, proteins are primarily used for tissue repair and growth, and glycogen is a short-term energy source stored in the muscles and liver.
Therefore, carbohydrates are the body's priority energy reserve for immediate energy needs.
Question 5 of 5
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client?
Correct Answer: D
Rationale: The correct answer is D: The specimen cannot be contaminated. This is crucial because fecal occult blood testing requires a clean sample to accurately detect blood in the stool. Contamination can lead to false results, affecting the interpretation of the test. Eating more protein (choice
A) is irrelevant to the test procedure. One stool specimen (choice
B) may not be enough for accurate testing. A red color change (choice
C) is not necessarily indicative of a positive test result. By ensuring the specimen is not contaminated, the client can obtain reliable test results.