ATI RN
ATI Nursing 100 Day Exam 4 Fundamentals Questions
Extract:
Question 1 of 5
The nurse understands that the rationale(s) for clients receiving intravenous (IV) therapy is/are to:
Correct Answer: A,D,E
Rationale: IV therapy compensates for fluid/electrolyte losses (e.g. vomiting) corrects imbalances (e.g. hyponatremia) and expands volume in dehydration or hypovolemia. Increasing urine specific gravity indicates concentrated urine not an IV goal and moving fluid to unavailable areas (e.g. cerebrospinal fluid) is not achieved by IV therapy.
Question 2 of 5
The nurse is aware that a common cause of under delegation in client care is:
Correct Answer: C
Rationale: Under-delegation often stems from a nurse’s need for perfectionism and control leading to reluctance to delegate tasks as they fear tasks won’t meet their standards. Over-delegation to assistive personnel is related to excessive delegation not under-delegation. A high degree of trust would facilitate delegation and nurses’ heavy workloads mean they often lack time to do all tasks themselves contradicting the idea of having time as a cause.
Question 3 of 5
A client has had an uncomplicated repair of an inguinal hernia. On the second post operative day the client has mildly elevated temperature and general malaise. The nurse recognizes that this is a generalized body response which is common to which phase of healing?
Correct Answer: A
Rationale: Mild fever and malaise are typical during the inflammatory phase of healing (days 1-4) due to the body’s immune response to surgical trauma releasing cytokines. Proliferation (days 4-21) involves tissue repair remodeling (up to a year) strengthens tissue and infection would present with more severe symptoms like redness or pus not mild symptoms.
Question 4 of 5
Which one of the following blood levels would provide the nurse with the most information about the ability of the client's blood to transport oxygen? The:
Correct Answer: D
Rationale: Hemoglobin carries oxygen in the blood binding it in red blood cells making its level the best indicator of oxygen transport capacity. Carbon dioxide is exhaled surfactant aids lung compliance and bicarbonate regulates pH none directly affect oxygen transport.
Question 5 of 5
A nurse is caring for a client who has a diagnosis of alcohol withdrawal. Which serum laboratory value validates the client's admitting diagnosis? A serum:
Correct Answer: A
Rationale: Low magnesium (1.8 mEq/L below normal 1.8-2.5 mEq/L) is associated with alcohol withdrawal contributing to symptoms like tremors and seizures due to hypomagnesemia from poor nutrition and alcohol’s diuretic effect. Normal potassium (3.5-5.0 mEq/L) calcium (8.5-10.2 mg/dL) and phosphorus (2.5-4.5 mg/dL) levels do not specifically validate alcohol withdrawal.