Questions 85

ATI RN

ATI RN Test Bank

ATI Fundamental Exams Questions

Extract:


Question 1 of 5

After an assessment, the nurse realizes that a client demonstrates cognitive responses to stress. What behaviors did the client demonstrate for the nurse to make this clinical determination?

Correct Answer: D

Rationale: Decreased attention to detail indicates cognitive impairment due to stress, affecting concentration and decision-making. Irritability and anger are emotional, and lethargy is physical.

Question 2 of 5

A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?

Correct Answer: C

Rationale: Yogurt is a semi-solid, not suitable for a clear liquid diet, which includes transparent, easily digestible fluids like gelatin, popsicles, and broth. The choice of yogurt indicates a misunderstanding of the diet.

Question 3 of 5

A home health nurse is teaching about endotracheal suctioning. Which of the following information should the nurse include in the teaching?

Correct Answer: A,C

Rationale: Resting 10-15 seconds between suctioning prevents hypoxemia and airway trauma. Suctioning less than 10 seconds minimizes hypoxemia and mucosal damage. Suction pressure should be 80-120 mm Hg, individualized. Suction during insertion increases trauma risk.

Question 4 of 5

The nurse is caring for the client with cardiac and renal disease. The client now has a serum potassium level of 6.0 mEq/L. Which medications, if prescribed, should the nurse administer? Select all that apply.

Correct Answer: A,B,D

Rationale: Calcium gluconate stabilizes cardiac membranes against hyperkalemia effects. Dextrose and insulin shift potassium into cells, lowering serum levels. Colace is irrelevant to hyperkalemia. Potassium chloride would worsen hyperkalemia.

Question 5 of 5

A nurse is conducting a nutritional class on minerals and electrolytes. The nurse should include which of the following foods is a major source of magnesium?

Correct Answer: A

Rationale: Tuna is a significant source of magnesium, supporting muscle, nerve, and bone health.
Tomatoes, eggs, and oranges provide other nutrients but are not major magnesium sources compared to fish, nuts, or leafy greens.

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