ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
The RN receives a call from the lab that a client's potassium chloride (KCl) level is 6.6 (normal range is 3.5 to 5 mEq/L). What should the nurse do first?
Correct Answer: A
Rationale: Stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood or hyperkalemia can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium which is the KCl infusion and monitor the client’s vital signs electrocardiogram and symptoms. Administering more KCl or encouraging fluids without stopping the infusion would worsen the condition. Calling the pharmacy is secondary to stopping the infusion.
Question 2 of 5
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The nursing assistant then reports to the nurse that the patient's blood pressure was low when it was taken at 0830. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is re-checked and it has dropped even lower. The nurse first made an error in what phase of the nursing process?
Correct Answer: A
Rationale: Assessment is the first and most important phase of the nursing process as it involves collecting and analyzing data about the patient’s health status needs and preferences. The nurse should have assessed the patient’s blood pressure before administering the antihypertensive medication as it could have been contraindicated or required a dosage adjustment. By failing to do so the nurse put the patient at risk of hypotension and its complications.
Question 3 of 5
The RN is developing a teaching plan for a client with a wound. Which strategy should the RN use to promote learning?
Correct Answer: C
Rationale: Repeating key concepts is an effective strategy to promote learning helping the patient remember and clarify information. Waiting 24 hours risks forgetting complex-to-simple organization may overwhelm and holding questions discourages engagement all of which hinder learning.
Question 4 of 5
A nurse is collecting data from a client who has open-angle glaucoma. Which of the following symptoms should the nurse expect the patient to report?
Correct Answer: A
Rationale: Gradual loss of peripheral vision is characteristic of open-angle glaucoma due to blocked drainage angles increasing intraocular pressure and damaging the optic nerve. Central vision loss is typical of macular degeneration sudden headache and nausea indicate acute angle-closure glaucoma and cloudy vision suggests cataracts.
Question 5 of 5
What is the main goal for the RN as a teacher?
Correct Answer: A
Rationale: This is the correct answer because the RN as a teacher aims to promote health literacy self-management and shared decision-making among patients and their families. By helping people to become empowered to take care of their health the RN can facilitate positive health outcomes and prevent complications. Explaining what nurses do is secondary to patient empowerment. Discharge instructions are a component of teaching not the main goal. Teaching treatments for quicker discharge focuses on hospital efficiency rather than long-term health empowerment.