ATI RN
ATI RN Fundamentals 2019 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: The correct answer is D: A gastric residual of 300 mL at the end of the shift. This is unexpected because a high gastric residual volume may indicate feeding intolerance or delayed gastric emptying, which can lead to aspiration or other complications. A blood glucose level of 110 mg/dL (choice
A) is within the normal range. Diarrhea once in a 24-hour period (choice
B) can be a common side effect of enteral feeding. A weight gain of 0.91 kg (2 lb) in 2 days (choice
C) can occur due to fluid retention or other factors but is not unexpected.
Question 2 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?
Correct Answer: D
Rationale: The correct answer is D: The infant's 17-year-old mother. Minors under 18 cannot legally provide consent. The mother, being the legal guardian, can sign on behalf of the infant. A is incorrect as the provider cannot provide consent. B is incorrect as grandparents are not legal guardians. C is incorrect as a sibling is not the legal guardian.
Question 3 of 5
A nurse is reviewing the medical record for a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Potassium 5.8 mEq/L. This value indicates hyperkalemia, which can lead to serious cardiac complications. The nurse should report this to the provider immediately for further evaluation and intervention. Magnesium (
A) at 1.9 mEq/L is within the normal range. Calcium (
B) at 9.6 mg/dL is also within normal limits. Sodium (
D) at 140 mEq/L is a normal value.
Therefore, the abnormal potassium level (
C) is the critical finding that requires immediate attention.
Question 4 of 5
A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: A change in appearance of a mole on the shoulder. This is the priority finding because it could indicate skin cancer, especially in a client with a history of outdoor work and prolonged sun exposure. Changes in the appearance of moles, such as irregular borders, color variation, or size increase, should raise concern for melanoma. Skin tags (choice
A) are benign and not typically concerning. A flat, nonpalpable discolored area of skin (choice
C) may be a harmless pigmented lesion. Atrophic fingers (choice
D) may be related to other conditions but are not a priority in this scenario.
Question 5 of 5
A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer is B: A change in appearance of a mole on the shoulder. This is the priority finding because it could indicate skin cancer, especially in a person with a history of outdoor work. Changes in the appearance of moles should always be assessed by a healthcare provider promptly.
A: Skin tags in the neck region are common and usually benign, not a priority.
C: A flat, nonpalpable discolored area of skin is less concerning for immediate intervention.
D: Atrophic fingers may indicate a separate issue but are not as urgent as a changing mole.