ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is teaching a client about progressing from a clear liquid diet to a full liquid diet. Which of the following food selections by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: Pudding. Pudding is part of a full liquid diet, which includes foods that are liquid at room temperature and don't require chewing. This demonstrates understanding of the progression from a clear liquid diet to a full liquid diet. Bananas (
A) and cooked vegetables (
B) require chewing and are not part of a full liquid diet. Yogurt with fruit (
C) contains solid pieces of fruit, which may not be suitable for a full liquid diet. In summary, pudding is the appropriate choice as it aligns with the requirements of a full liquid diet, while the other options do not meet this criteria.
Extract:
Exibit 1
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
Exibit 2
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 D + D) 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 D + D.) 15 ng/dL (25 to 80 ng/dL)
Exibit 3
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.
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 2 of 5
A nurse in a provider's office is caring for a client. 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: B,D
Rationale: The correct answers are B and D. Vitamin D is essential for calcium absorption, which is crucial for bone health. Low levels of vitamin D can lead to decreased bone density and increase the risk of osteoporosis. Adequate physical activity helps in building and maintaining bone strength. Smoking (choice E) is a risk factor for osteoporosis as it can lead to decreased bone mass. Alcohol use (choice
A) can interfere with the body's ability to absorb calcium, contributing to bone loss. Lactose intolerance (choice
C) can lead to reduced calcium intake but does not directly increase osteoporosis risk. Phosphorus level (choice F) is important for bone health but is not a primary risk factor for osteoporosis.
Extract:
Question 3 of 5
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
Correct Answer: D
Rationale: The correct answer is D: Client advocate. The nurse manager is functioning in the role of a client advocate by ensuring the safety of the client during the straight catheterization procedure. Advocacy involves protecting the client's rights, promoting their well-being, and ensuring they receive safe and appropriate care. The other choices are incorrect because:
A) Case manager focuses on coordinating care and resources for the client,
B) Client educator involves providing information and teaching the client about their care, and
C) Client care provider refers to directly providing hands-on care to the client, which is not the primary role of the nurse manager in this scenario.
Question 4 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Auscultate bowel sounds. This is the first action the nurse should take to assess for signs of bowel obstruction, a potential emergency with the client's symptoms. Absence of bowel sounds may indicate a blockage and prompt further intervention. Offering pain medication (
A) without assessing the underlying cause could mask symptoms. Palpating the abdomen (
B) could potentially worsen a blockage if present. Administering an antiemetic (
C) may help with nausea but does not address the root cause.
Question 5 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: B
Rationale: The correct answer is B: Weight. Anthropometric assessment involves measuring body weight as part of evaluating a client's overall health status. Weight provides valuable information about a client's nutritional status, growth, and potential health risks. Respiratory rate (
A) is part of a vital signs assessment, not anthropometric assessment. Level of orientation (
C) pertains to mental status evaluation. Current pain level (
D) is important for assessing discomfort but is not part of anthropometric assessment.