ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 of 5
A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Weight. In an anthropometric assessment, weight is a crucial measurement to assess a client's nutritional status, growth patterns, and overall health. Weight can indicate changes in fluid balance, muscle mass, and fat stores. It helps in monitoring progress, setting goals, and evaluating the effectiveness of interventions. The other choices are incorrect because: A - Level of orientation is related to cognitive status, not anthropometric assessment; B - Respiratory rate is a vital sign indicating respiratory function, not part of anthropometric assessment; D - Current pain level is important for pain management but not relevant to anthropometric assessment.
Question 2 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: B
Rationale: The correct answer is B: Occupational therapist. The nurse should request a referral to an occupational therapist for the client with severe rheumatoid arthritis in her hands because an occupational therapist specializes in helping individuals regain independence in activities of daily living, such as feeding oneself. An occupational therapist can provide interventions to improve hand function and teach adaptive techniques to help the client feed herself.
Choice A, a social worker, focuses on psychosocial needs and support services rather than physical rehabilitation.
Choice C, a physician assistant, typically provides medical care but may not have the specialized skills in hand therapy.
Choice D, a physical therapist, focuses more on overall mobility and physical function rather than specific hand function in feeding.
Question 3 of 5
A nurse is reviewing the laboratory results of a female client who has liver dysfunction and is receiving a continuous tube feeding. Which of the following findings should the nurse identify as a protein deficiency?
Correct Answer: A
Rationale: The correct answer is A: Albumin 3.1 g/dL. Albumin is the main protein in the blood and is produced by the liver. In liver dysfunction, the synthesis of albumin is decreased, leading to low levels in the blood, indicating protein deficiency. Transferrin (
B) is a protein involved in iron transport, not a direct indicator of protein deficiency. Uric acid (
C) and total iron-binding capacity (
D) are not specific markers for protein deficiency.
Question 4 of 5
A nurse is preparing to administer several medications via an NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Flush the NG tube with 5 mL of sterile water for irrigation prior to administration. This action helps ensure that the NG tube is clear and free from any residual formula or medication, preventing potential clogs or interactions. By flushing the tube, the nurse can confirm proper tube placement and avoid any complications.
Choice A is incorrect because combining medications with the formula can lead to drug interactions and compromise the efficacy of the medications.
Choice B is incorrect as diluting medications with warm water may alter their stability and effectiveness.
Choice D is incorrect as mixing medications together in a single syringe can also result in drug interactions and inaccurate dosing.
Question 5 of 5
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?
Correct Answer: A
Rationale: The correct answer is A: Check the blood product’s compatibility with the client’s blood type. Before administering packed RBCs, it is crucial to ensure compatibility to prevent a transfusion reaction. This involves verifying the client's blood type and cross-matching it with the blood product to prevent adverse reactions.
Choice B is incorrect because lactated Ringer's should not be used to prime the tubing for blood transfusion, as it can cause hemolysis.
Choice C is incorrect as a small gauge IV catheter may not be suitable for blood transfusion due to the viscosity of packed RBCs.
Choice D is incorrect as confirming the client's identity with the blood bank technician is important but does not address the immediate safety concern of blood type compatibility.