ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports back pain. The nurse asks the client to rate the pain on a scale of 0 to 10. The nurse is using which of the following components of the PQRST mnemonic?
Correct Answer: A
Rationale: Rating pain on a 0-10 scale assesses severity, the 'S' in PQRST, quantifying pain intensity for management. Precipitating cause, region, and quality involve triggers, location, and pain characteristics, respectively.
Question 2 of 5
A client is admitted to the emergency room with a respiratory rate of $7/\min$. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L
Correct Answer: D
Rationale: pH 7.22 indicates acidemia, and elevated PaCO2 (68 mm Hg) suggests hypoventilation, characteristic of respiratory acidosis due to CO2 retention. Normal bicarbonate and base excess indicate no metabolic compensation.
Question 3 of 5
A nurse is teaching a client about using a PCA device for postoperative pain management. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: The PCA allows the client to control pain medication administration within safe limits, promoting autonomy. Medication is intravenous, not intramuscular, only the client should use it, and doses are controlled, not large.
Question 4 of 5
A nurse is caring for a client whose partner died 3 years ago and reports that they are still unable to accept the loss. The nurse should identify that the client has manifestations of which of the following types of grief?
Correct Answer: C
Rationale: Prolonged grief persists beyond typical mourning, impairing function, as seen in the client’s inability to accept the loss after 3 years. Disenfranchised grief lacks recognition, anticipatory is pre-loss, and uncomplicated resolves over time.
Question 5 of 5
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as Indications that the client has an infection? (Select all that apply)
Correct Answer: A,E
Rationale: Localized edema and an increase in neutrophils are indicative of infection in a diabetic client with foot pain. Edema, along with erythema and warmth, suggests inflammation due to infection. Neutrophilia reflects the immune response to bacterial infection. Increased RBCs (erythrocytosis), bradycardia, and increased platelets (thrombocytosis) are not typical infection markers.