Questions 85

ATI RN

ATI RN Test Bank

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: In the PQRST mnemonic, 'S' stands for Severity. Asking the client to rate pain on a 0-10 scale assesses the intensity of the pain, providing a baseline for pain management.

Question 2 of 5

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

Correct Answer: B

Rationale: Non-maleficence, the principle of doing no harm, supports the nurse’s concern about hastening death. Utilitarianism focuses on overall good, fidelity on duty, and veracity on truthfulness, none directly addressing harm avoidance here.

Question 3 of 5

A nurse is conducting a fall risk assessment for her clients. The nurse should identify that which of the following clients is the greatest risk for a fall?

Correct Answer: A

Rationale: Confusion and urinary frequency increase fall risk due to disorientation and frequent bathroom trips, posing a greater risk than hearing impairment, foot dressings, or walker use with osteoarthritis.

Question 4 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.

Extract:

Diagnostic Results
Preoperative:
WBC 7,500/mm3 (5,000 to 10,000/mm)
Potassium 3.5 mEq/L (3.5 to 5 mEq/L)
Prealbumin 16 mg/dL (15 to 36 mg/dL)
Platelets 200.000mm (150,000 to 400,000/mm
BUN 17 mg/dL (10 to 20 mg/d)

Postoperative
WBC 7,000/mm (5,000 to 10,000/mm)
Potassium 3.0 mEq/L (3.5 to 5 mEq/L)
Prealbumin 15 mg/dl (15 to 36 mg/dL)
Platelets 160.000/mm (150,000 to 400,000/mm)
BUN 19 mg/dL (10 to 20 mg/dL)


Question 5 of 5

A nurse is reviewing laboratory data on a client who is recovering from surgery.ExhibitsDrag 1 condition and 1 client finding to fill in each blank in the following sentence.The client is at risk for developing ----------due to-----------------

Correct Answer: A,B

Rationale: The client’s postoperative potassium level of 3.0 mEq/L (below 3.5-5 mEq/L) indicates hypokalemia, which disrupts cardiac electrical conductivity, increasing arrhythmia risk. Potassium is vital for heart repolarization, and low levels can prolong the QT interval, leading to potential cardiac events.

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