ATI RN
ATI Fundamental Exams Questions
Extract:
Question 1 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 2 of 5
A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Posting NO SMOKING signs, notifying the fire department, and checking ears for skin breakdown are critical for safety and comfort. Verifying flow rate every other day is unnecessary unless specified, and petroleum ointment is not recommended due to infection risks.
Question 3 of 5
A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (Select all that apply.)
Correct Answer: A,B,C
Rationale: Stroke, head/neck radiation, and recent general anesthesia impair swallowing mechanisms, increasing aspiration risk. Lactose intolerance and diarrhea affect digestion, not swallowing.
Question 4 of 5
A nurse is using the NURSE mnemonic when speaking with a client who is experiencing grief. The client reports that they are feeling overwhelmed. Which of the following responses by the nurse demonstrates the 'E' in the NURSE mnemonic?
Correct Answer: A
Rationale: The 'E' in NURSE stands for empathize. Saying 'It sounds like you are exhausted' acknowledges and validates the client’s feelings of being overwhelmed, showing empathy. Other responses encourage dialogue or offer support but don’t directly empathize.
Question 5 of 5
A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client?
Correct Answer: D
Rationale: Protective precautions are used for immunocompromised clients like those post-stem-cell transplant to prevent infections from all sources. Contact, airborne, and droplet precautions target specific transmission modes.