ATI RN
ATI Fundamental Proctored Exam 2024-2025 Online Practice 250 Simulated Exam Questions Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has not voided for 8 hr following surgery. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Perform a bladder scan. This is the first action the nurse should take because it provides valuable information about the client's bladder status without invasive intervention. The bladder scan will help determine if the client has urinary retention, which could be the reason for not voiding after surgery. Offering fluids (choice
A) is important but should come after assessing the bladder. Inserting a urinary catheter (choice
C) is invasive and should only be done if necessary. Providing assistance to the bathroom (choice
D) is not appropriate if there is a possibility of urinary retention.
Question 2 of 5
A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Use a sterile specimen container. This is crucial to prevent contamination of the urine sample, ensuring accurate culture and sensitivity results. Sterile container minimizes the risk of introducing bacteria from the environment. Option A is incorrect because collecting urine from the catheter's port may introduce contaminants. Option C is incorrect as sterile water is not used to inflate the balloon but rather sterile saline. Option D is incorrect because cleaning from front to back is not relevant to obtaining a urine specimen via catheterization.
Question 3 of 5
A nurse is assisting with the admission of a client who is dehydrated. Which of the following BUN levels should the nurse expect the client to have?
Correct Answer: D
Rationale: The correct answer is D: 24 mg/dL. BUN (Blood Urea Nitrogen) levels typically increase in dehydration due to reduced kidney perfusion. A BUN level of 24 mg/dL is higher than normal (7-20 mg/dL) and is indicative of dehydration.
Choice A (3.6 mg/dL) is too low for a dehydrated client.
Choice B (9 mg/dL) is within the normal range and not high enough for dehydration.
Choice C (18.7 mg/dL) is slightly elevated but may not be as indicative of dehydration as choice D.
Question 4 of 5
A nurse is caring for a client who has dyspnea, crackles, and 3+ bilateral pitting pedal edema. Which of the following serum sodium levels should the nurse identify as an indication of fluid volume excess?
Correct Answer: A
Rationale: The correct answer is A (116 mEq/L). A low serum sodium level indicates dilutional hyponatremia, which can occur in fluid volume excess. In this case, the client's symptoms of dyspnea, crackles, and pedal edema point towards fluid overload. A serum sodium level of 116 mEq/L reflects dilution due to excess fluid in the body, indicating fluid volume excess.
Choices B, C, and D have normal to high sodium levels, which do not correlate with fluid volume excess.
Therefore, A is the most appropriate choice based on the client's clinical presentation.
Question 5 of 5
A nurse is reviewing the medical record of a client who has a fluid volume deficit. The nurse should expect which of the following findings?
Correct Answer: B
Rationale: The correct answer is B: Urine output 15 mL/hr. In a client with fluid volume deficit, the body tries to conserve fluids by decreasing urine output. A urine output of 15 mL/hr indicates decreased renal perfusion and fluid conservation, which are common in fluid volume deficit.
Choices A, C, and D are within normal ranges and do not specifically indicate fluid volume deficit.
Choice A (BUN 12 mg/dL) is within the normal range and is not significantly altered in fluid volume deficit.
Choice C (Hct 43%) is also within normal range and may be elevated in dehydration, but not specific to fluid volume deficit.
Choice D (Urine specific gravity 1.020) is concentrated, but not definitive for fluid volume deficit.