ATI RN
ATI RN Fundamentals 2023 I Questions
Extract:
Question 1 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 2 of 5
A home health nurse is assessing the home environment of an older adult client who has osteoporosis. For which of the following findings should the nurse intervene?
Correct Answer: C
Rationale: The correct answer is C: There is an area rug covering a tile floor. Area rugs can pose a tripping hazard for older adults, especially those with osteoporosis who are at increased risk of falls and fractures. The uneven surface of the rug over the tile floor can lead to slips and falls, potentially causing serious injuries. The nurse should intervene by recommending the removal of the area rug to create a safer environment for the client.
Incorrect answers:
A: Grab bars in the shower are a safety measure to prevent falls, so this is a positive finding.
B: The hot water heater set at 47°C is within the recommended safe temperature range to prevent scalding, so no intervention is needed.
D: Storing prescriptions in a medication organizer promotes medication safety and organization, so this is not a concern.
Question 3 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 4 of 5
A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: I will perform ankle and knee exercises every hour. This statement indicates an understanding of the teaching because regular ankle and knee exercises help prevent muscle atrophy and improve circulation, reducing the adverse effects of immobility.
Choice A is incorrect as removing antiembolic stockings increases the risk of blood clots.
Choice C is incorrect as holding breath while rising can lead to orthostatic hypotension.
Choice D is incorrect as changing positions every 2 hours is recommended to prevent pressure ulcers.
Question 5 of 5
A nurse is caring for a client who is postoperative and is on bed rest. Which of the following actions should the nurse take to decrease the client’s risk of developing a pressure injury?
Correct Answer: C
Rationale: The correct answer is C: Ensure the client’s heels are not touching the mattress. This is important because pressure injuries commonly occur on bony prominences, such as the heels, due to prolonged pressure and friction. By ensuring the client’s heels are elevated off the mattress, the nurse can reduce the risk of pressure injury development in this area. Repositioning the client every 4 hours (choice
A) is important but may not specifically address the risk of pressure injury on the heels. Raising the head of the client’s bed to a 60° angle (choice
B) is more related to preventing aspiration in a postoperative client than preventing pressure injuries. Massaging the client’s bony prominences (choice
D) can actually increase the risk of skin breakdown due to friction and shearing forces.