ATI RN
ATI N100 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who reports having chills and back pain during a blood transfusion. What is the nurse's PRIORITY action to complete?
Correct Answer: D
Rationale: Stopping the transfusion is the priority action as it addresses the immediate risk of a transfusion reaction, such as an allergic reaction or transfusion-related infection.
Question 2 of 5
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: Hyperkalemia can cause paresthesias, which are sensations of tingling or numbness, particularly in the extremities. This occurs due to the effect of elevated potassium levels on nerve and muscle function. As potassium is essential for maintaining normal neuromuscular function, deviations from normal levels can disrupt action potentials and lead to sensory disturbances like paresthesias.
Question 3 of 5
A nurse is assessing a client with a sodium level of 116 mEq/L (135-145 mEq/L). Which finding should the nurse expect for this client to have?
Correct Answer: C
Rationale: Lethargy is a common symptom of severe hyponatremia. Low sodium levels can lead to cerebral edema and neurological disturbances, resulting in symptoms such as lethargy, confusion, and even seizures.
Question 4 of 5
A nurse is teaching a client about foods that are included on a clear liquid diet. Which food choice would be appropriate for this client?
Correct Answer: A
Rationale: A popsicle is appropriate for a clear liquid diet because it is made from clear liquids and does not contain any solids or pulp. Clear liquids are defined as those that are transparent at room temperature.
Question 5 of 5
A nurse is caring for a client with an order for one unit of packed red blood cells (PRBCs). The nurse should anticipate to remain at client's bedside during which time period of the infusion?
Correct Answer: C
Rationale: The first 15 minutes of a PRBC transfusion are crucial because most acute transfusion reactions, such as allergic reactions, febrile non-hemolytic reactions, and hemolytic reactions, occur within this time frame.