Questions 62

ATI RN

ATI RN Test Bank

ATI RN Fundamentals 2023 Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has acute pain as a result of a pressure injury to the sacrum. Which of the following nonpharmacological interventions should the nurse include in the plan?

Correct Answer: D

Rationale: Loosening linens doesn’t address pain. Massaging a pressure injury worsens it. Bright lights don’t help pain. Music therapy reduces pain perception through distraction and relaxation.

Question 2 of 5

A nurse is collecting a blood pressure (BP) reading from a client who is sitting in a chair. The nurse determines that the client's BP is 158/96 mm Hg. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A cuff width of 40–50% is correct but assumed here. Rechecking in the other arm confirms accuracy. Waiting 30 minutes delays action. Supine repositioning isn’t necessary unless indicated.

Question 3 of 5

A nurse is assessing a client who has left-sided weakness following a stroke. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: Frequent coughing while eating indicates aspiration risk, a priority due to potential for pneumonia. Elevated blood pressure, low meal consumption, and leaning are concerns but secondary to airway safety.

Question 4 of 5

A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

Correct Answer: C

Rationale: Daily glucose checks are important but not specific to PN initiation. Bag changes vary by policy. High-dextrose PN requires a central line to prevent vein damage. Separate administration isn’t standard.

Extract:

Medical History
Initial visit:
Client reports a sedentary lifestyle.
Client is lactose intolerant and denies taking vitamin supplements. Client is a nonsmoker.
Client does not drink alcohol.
Diagnostic Results
Initial visit:
• Calcium 8.9 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.4 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+ D3) 24 ng/dL (25 to 80 ng/dL)
6-month follow-up:
• Calcium 8.8 mg/dL (9 to 10.5 mg/dL)
• Phosphorus 3.2 mg/dL (3 to 4.5 mg/dL)
• Total 25-hydroxy D (vitamin D2+D) 15 ng/dL (25 to 80 ng/dL)
Nurses' Notes
Initial visit:
Client instructed to take a calcium and vitamin D supplement and begin an exercise program, such as walking 3 times per week.
6-month follow-up:
Client states they frequently forget to take their calcium and vitamin D supplements and has been unable to exercise due to time constraints.


Question 5 of 5

A nurse in a provider's office is caring for a client. Exhibits:The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Correct Answer: C,F

Rationale: Lactose intolerance doesn’t directly cause osteoporosis. No smoking or alcohol use reported. Low vitamin D and sedentary lifestyle increase osteoporosis risk by reducing bone density.

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