ATI RN
ATI N100 Fundamentals Exam Questions
Extract:
Question 1 of 4
A nurse is caring for a client with a current blood potassium level of 5.4 mEq/L (3.5-5 mEq/L). Which finding would this client have?
Correct Answer: D
Rationale: The correct answer is D: Paresthesias of the extremities. A potassium level of 5.4 mEq/L is elevated (normal range is 3.5-5 mEq/L). High potassium levels can lead to nerve conduction abnormalities, causing paresthesias. Constipation (choice
A) is more commonly associated with low potassium levels. Polyuria (choice
B) is excessive urination, not directly related to potassium levels. EKG changes with a U wave (choice
C) are typically seen with low potassium levels, not high.
Question 2 of 4
A nurse is admitting a client who has a serum calcium level of 12.3 mg/dL (9-10.5 mg/dL). Which finding should the nurse expect during the initial assessment?
Correct Answer: B
Rationale: The correct answer is B: Increased blood clots. A serum calcium level of 12.3 mg/dL indicates hypercalcemia, which can lead to increased blood coagulability and risk of blood clots. High calcium levels can promote platelet aggregation and stimulate the coagulation cascade. This can result in an increased risk of thrombus formation. Hyperactive bowel sounds (choice
A) are not typically associated with hypercalcemia. Hyperactive deep tendon reflexes (choice
C) are more commonly seen in hypocalcemia. Positive Chvostek's sign (choice
D) is a clinical sign of hypocalcemia, not hypercalcemia.
Question 3 of 4
A nurse is caring for a client with rheumatoid arthritis. The client is having difficulty with self-feeding due to the pain and hand deformities. The nurse would anticipate a referral will be made to which member of the interprofessional team?
Correct Answer: D
Rationale: The correct answer is D: Occupational Therapist. An occupational therapist helps clients with physical disabilities to perform activities of daily living, such as self-feeding, by providing adaptive techniques and devices. They focus on improving functional abilities and promoting independence. Speech Therapist (
A) focuses on communication and swallowing disorders, not hand function. Registered Dietician (
B) specializes in nutrition and diet planning. Physical Therapist (
C) focuses on mobility and physical function, not hand function.
Question 4 of 4
A nurse is preparing to give a client an infusion of packed red blood cells (PRBCS). The nurse is priming her administration IV tubing, the nurse primes one side of the Y tubing with the blood and the other should be which solution?
Correct Answer: D
Rationale: The correct answer is D: 0.9% NS (normal saline). When administering packed red blood cells (PRBCs), it is crucial to prime the Y tubing with normal saline. This is because PRBCs should not be mixed with dextrose-containing solutions like D5W (
Choice
A) as it can cause hemolysis. 0.3% NS (
Choice
B) and lactated Ringers (
Choice
C) are not compatible with PRBCs and can lead to adverse reactions. Overall, 0.9% NS is the most suitable choice as it is isotonic and compatible with PRBCs, ensuring the safety and efficacy of the infusion.
Question 5 of 4
A nurse is caring for a client who is suffering from dysphagia after a stroke and is currently NPO. Which member of the inter-professional team would the nurse anticipate will be consulted to determine how this client will be safely fed?
Correct Answer: A
Rationale: The correct answer is A: Speech therapist. The speech therapist specializes in evaluating swallowing difficulties (dysphagia) and determining safe feeding strategies for patients with such conditions. They assess the client's ability to swallow, recommend appropriate feeding techniques, and ensure that the client receives adequate nutrition without compromising their safety. Respiratory therapists focus on breathing-related issues, while physical and occupational therapists primarily address mobility and functional abilities.
Therefore, the speech therapist is the most appropriate member of the inter-professional team to consult in this situation.