ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has which of the following respiratory alterations?
Correct Answer: A
Rationale: Cheyne-Stokes respirations involve alternating hyperventilation and apnea, common in neurological conditions or end-of-life. Kussmaul is rapid breathing, apneustic involves prolonged gasps, and stridor is noisy breathing from obstruction.
Question 2 of 5
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Only the client should use the PCA pump to ensure medication is administered based on their pain, preventing overmedication. Other responses either encourage misuse or fail to educate properly.
Question 3 of 5
A nurse is conducting a nutritional class on minerals and electrolytes. The nurse should include which of the following foods is a major source of magnesium?
Correct Answer: A
Rationale: Tuna is a significant source of magnesium, supporting muscle, nerve, and bone health.
Tomatoes, eggs, and oranges provide other nutrients but are not major magnesium sources compared to fish, nuts, or leafy greens.
Question 4 of 5
A nurse is educating a client who is experiencing sleep disturbances and desires to decrease caffeine intake. Which of the following beverages should the nurse recommend?
Correct Answer: D
Rationale: Lemon-lime soda typically does not contain caffeine, making it suitable for reducing caffeine intake to improve sleep. Chocolate milk, diet cola, and brewed iced tea contain caffeine, which can exacerbate sleep disturbances.
Question 5 of 5
A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Fluid overload increases blood volume, causing increased heart rate to maintain cardiac output, increased respiratory rate due to pulmonary congestion, and increased blood pressure from vessel pressure. Hematocrit decreases due to dilution, and temperature is not directly affected.