ATI RN
ATI N 144 Exam 1 Fundamental Concepts for Nursing Practice Questions
Extract:
Question 1 of 5
Which statement suggests that the RN understands delegation in the concept of time management?
Correct Answer: A
Rationale: This is the correct answer because it shows that the RN understands delegation as a way of managing time effectively. Delegation is the process of assigning tasks to other members of the health care team who are competent and qualified to perform them. By working with the LPN and nursing assistant on dividing up patient care tasks the RN can ensure that the tasks are done safely efficiently and according to the scope of practice of each team member. Overtime work excessive checking or completing all tasks personally indicate poor time management and delegation skills.
Question 2 of 5
Identify which client could be considered to be in a state of wellness?
Correct Answer: C
Rationale: A hospice client who is comfortable and at peace with dying is in a state of wellness. Wellness is not only the absence of disease but also the presence of positive health behaviors and attitudes. The client’s acceptance and comfort reflect emotional and spiritual well-being aligning with wellness. The other options involve ignoring health risks emotional distress or unhealthy behaviors which do not reflect wellness.
Question 3 of 5
The nurse is caring for an older adult client who is receiving intravenous fluids at 150 mL/hr. Upon assessment,the nurse notes crackles shortness of breath and jugular vein distention. Based on this data which complication of IV fluid therapy does the nurse anticipate?
Correct Answer: B
Rationale: Fluid volume excess is a condition in which the body retains more fluid than it needs resulting in edema hypertension and heart failure. It is a potential complication of IV fluid therapy especially in older adults who have reduced renal function and cardiac output. The nurse's assessment findings of crackles shortness of breath and jugular vein distention are indicative of fluid overload and pulmonary congestion. Fluid volume deficit would present with dehydration and hypotension which are not indicated here. Speed shock is related to rapid medication administration not fluid therapy. Pulmonary embolism involves a blockage in pulmonary arteries typically with symptoms like chest pain and hemoptysis not fluid overload signs.
Question 4 of 5
The nurse notes that an elderly client has a history of osteoporosis. What safety measure should the nurse prioritize for this client?
Correct Answer: A
Rationale: Fall prevention is the most important safety measure for an elderly client with osteoporosis as falls can result in fractures and other complications. The nurse should assess the client’s risk factors for falls such as impaired vision balance or mobility and implement interventions to reduce them such as providing adequate lighting removing clutter and using assistive devices. Other measures are important but secondary to preventing fractures from falls in osteoporosis.
Question 5 of 5
A client is hospitalized for observation after suffering heat exhaustion during a marathon race. He complains of dizziness when he stands up,and the RN determines that he has postural hypotension. Based on the information which of the following electrolyte imbalances could cause the client's symptoms?
Correct Answer: B
Rationale: Hyponatremia or low sodium levels can cause postural hypotension due to its role in regulating fluid balance and blood pressure. Heat exhaustion may lead to sodium loss through sweating contributing to symptoms like dizziness. Hypernatremia hyperkalemia and hypokalemia are less likely to cause postural hypotension in this context.