ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
urses' Notes 0900:
Client reports a 3-month history of intermittent diarrhea and abdominal pain. Reports unintentional weight loss of 5.5 kg (12~O Ib)in 3 months.
0930:Stool sample obtained for fecal occult blood test. Fatty appearance and foul odor noted.
Question 1 of 5
For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn’s disease.
| Assessment | Ulcerativecolitis | Diverticilis | Crohn'sdisease |
|---|---|---|---|
| Fever | |||
| Steatorrhea | |||
| Anemia | |||
| Weight loss | |||
| Diarrhea |
Correct Answer: A, B, C, D
Rationale:
To determine the correct answer, we need to consider the typical manifestations of each condition. Fever is common in all three conditions, but steatorrhea is more indicative of Crohn's disease due to malabsorption. Anemia can occur in all three but is more common in ulcerative colitis due to chronic inflammation. Weight loss is a common symptom in all inflammatory bowel diseases.
Therefore, the correct answer is A, B, C, D as these findings are consistent with multiple conditions.
Extract:
Question 2 of 5
A nurse is caring for a client who has end-stage liver disease and is undergoing a paracentesis. Which of the following actions should the nurse take to evaluate the effectiveness of the procedure?
Correct Answer: B
Rationale: The correct answer is B: Compare the client's current weight with preprocedure weight. This is the most appropriate action to evaluate the effectiveness of the paracentesis. Paracentesis is a procedure to remove fluid from the abdominal cavity. By comparing the client's current weight with the preprocedure weight, the nurse can assess the amount of fluid removed and determine the effectiveness of the procedure in relieving ascites, a common complication of end-stage liver disease. Checking for leakage at the site of the procedure is important for immediate post-procedure assessment but does not evaluate the effectiveness of the procedure. Confirming that the client is able to urinate is important for assessing kidney function but does not directly evaluate the effectiveness of the paracentesis. Checking the client's serum albumin levels is important for assessing liver function but does not specifically evaluate the effectiveness of the procedure in removing fluid.
Question 3 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. The nurse should anticipate the provider to prescribe these interventions because they are commonly recommended for clients with conditions such as obesity and hypertension. Limiting alcohol intake to 0 oz per day can help improve overall health and prevent worsening of conditions. Keeping daily fat intake to less than 35% is beneficial for managing weight and cardiovascular health. Administering an antihypertensive medication is crucial for controlling blood pressure in hypertensive clients.
Choices C and E are incorrect as prescribing anti-obesity medications is not always the first-line treatment and limiting foods high in potassium may not be necessary unless the client has specific medical conditions.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum cult
Question 4 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Place a container for soiled linens inside the client's room. This is essential for infection control as it helps prevent the spread of pathogens. Soiled linens can harbor infectious organisms, so having a designated container inside the room reduces the risk of contamination to other areas. Option A is incorrect because an N95 mask is typically not required for standard isolation precautions. Option C is incorrect as negative airflow rooms are usually reserved for clients with airborne infections. Option D is incorrect because the mask should be removed inside the room to prevent contamination.
Extract:
Question 5 of 5
A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?
Correct Answer: D
Rationale:
Correct Answer: D. Reassure the client that this is an expected response to grief.
Rationale: Expressing anger is a common response to receiving a cancer diagnosis. By reassuring the client that anger is a normal part of the grieving process, the nurse validates the client's feelings and provides emotional support. This can help the client feel understood and more at ease. Discussing risk factors (
A) may not address the client's immediate emotional needs. Focusing on future management (
B) may be overwhelming at this stage. Providing written information about loss and grief (
C) may not directly address the client's anger.