ATI RN Fundamentals 2023 I

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?

A. Albumin 3.1 g/dL (3.5 to 5.0 g/dL)B. Transferrin 400 mg/dL (250 to 380 mg/dL)C. Uric acid 2.3 mg/dL (2.7 to 7.3 mg/dL)D. Total iron-binding capacity 488 mcg/dL (250 to 460 mcg/dL)

Correct Answer: A

Rationale: Low albumin (3.1 g/dL) indicates protein deficiency, common in liver dysfunction. High transferrin and TIBC suggest iron issues, and low uric acid isn’t protein-related.

Question 2 of 5

A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection?

A. Administer metronidazoleB. Don protective eyewear before entering the roomC. Place the client in a negative airflow roomD. Wear a mask when working within 3 feet of the client

Correct Answer: D

Rationale: Wearing a mask within 3 feet prevents droplet transmission of influenza. Metronidazole treats bacteria, eyewear isn’t routine, and negative airflow is for airborne diseases like TB.

Question 3 of 5

A nurse is preparing to provide postmortem care for a client. Which of the following should the nurse perform first?

A. Ask the family if they wish to assist in washing the client’s bodyB. Remove the client’s dentures for their family to keepC. Leave the client’s eyes open until the family views the bodyD. Turn overhead lights to a bright setting

Correct Answer: A

Rationale: Asking the family about assisting respects cultural/religious preferences, setting a respectful tone for care. Dentures stay in for facial shape, eyes are closed gently, and bright lights aren’t needed—soft lighting is preferred.

Question 4 of 5

A nurse is caring for a client who has left lower-lobe atelectasis. In which of the following positions should the nurse place the client for postural drainage?

A. Supine in low-Fowler’s positionB. Side-lying with the right side of the chest elevatedC. Prone with pillows under the lower extremitiesD. Right lateral in Trendelenburg position

Correct Answer: D

Rationale: Right lateral Trendelenburg elevates the left lower lobe, using gravity to drain secretions. Low-Fowler’s, right-side elevation, and prone positions don’t target this area effectively.

Question 5 of 5

A nurse is collaborating with a risk management team about potential legal issues involving client care. The nurse should identify that which of the following situations is an example of negligence?

A. A nurse administers a medication without first identifying the clientB. A nurse begins a blood transfusion without obtaining consent from a clientC. An assistive personnel prevents a client from leaving the facilityD. An assistive personnel discusses client care in the facility cafeteria with visitors present

Correct Answer: A

Rationale: Administering medication without identifying the client is negligence, failing standard care and risking harm. Lack of consent is ethical, restraint may be rights-related, and discussion breaches confidentiality—not negligence.

ATI RN Fundamentals 2023 I | Nurselytic

Nurselytic

ATI RN

ATI RN