ATI RN
RN ATI FUNDAMENTALS 2024 EXAM Questions
Extract:
Question 1 of 5
A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Sodium 130 mEq/L. A sodium level of 130 mEq/L is considered hyponatremia, indicating low sodium concentration in the blood which can lead to neurological symptoms like confusion and seizures. The nurse should report this finding to the provider for further evaluation and treatment.
Choice B: Creatinine 1.0 mg/dL is within the normal range and does not indicate a fluid or electrolyte imbalance.
Choice C: Sodium 135 mEq/L is within the normal range and does not require immediate reporting.
Choice D: Potassium 5.4 mEq/L is slightly elevated but not as critical as hyponatremia. It may indicate hyperkalemia, which can affect cardiac function but does not require immediate reporting in this case.
Question 2 of 5
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will hire someone to trim the tree that hangs low over the stairs of my front porch." This statement shows an understanding of safety precautions when using a walker. Trimming the tree will prevent any potential hazards or obstacles that could hinder the client's safe movement with the walker. Placing an extension cord (choice
A) can lead to tripping, placing the alarm clock across the room (choice
C) is not directly related to walker safety, and replacing a rug (choice
D) addresses a different safety concern. Hiring someone to trim the tree directly addresses the safety issue posed by the low-hanging tree branches, making it the most appropriate choice.
Question 3 of 5
A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy?
Correct Answer: C
Rationale: The correct answer is C: A mole with an asymmetrical appearance. The nurse should identify this as a potential indication of skin malignancy because asymmetry is a key characteristic of melanoma, a type of skin cancer. In melanoma, one half of the mole does not match the other half. Other choices are incorrect because: A: A lesion with uniform pigmentation is less likely to be malignant as skin cancer lesions often have irregular borders and uneven colors. B: Petechiae are tiny red or purple spots on the skin caused by bleeding under the skin and are not typically associated with skin cancer. D: The presence of a papule alone is not specific to skin cancer and could be indicative of various skin conditions.
Question 4 of 5
A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?
Correct Answer: D
Rationale: The correct answer is D because having a weekly inspection checklist for oxygen equipment ensures that the client's equipment is functioning properly and reduces the risk of potential hazards. A: Using a wool blanket can pose a fire hazard due to its flammability. B: Knowing the location of the fire extinguisher is important but not directly related to oxygen safety. C: Storing an oxygen tank in a secure outdoor shed is not recommended as it should be stored in a well-ventilated area.
Question 5 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. This is the correct action because high flow rates of oxygen can lead to oxygen toxicity and other complications. Nasal cannula is a common method of oxygen administration and the recommended maximum flow rate is typically 6 L/min to prevent drying out the mucous membranes and decreasing the risk of oxygen toxicity.
A: Regulating the flow rate by aligning with the ball inside the flow meter is incorrect because it does not specify a safe flow rate.
C: Allowing the reservoir bag of a partial rebreathing mask to remain deflated is incorrect as it would decrease the amount of oxygen delivered to the patient.
D: Using petroleum jelly to lubricate the client's nares, face, and lips is incorrect as it can be flammable and should not be used in the presence of oxygen therapy.
Therefore, the correct action is to regulate oxygen via nasal cannula