ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
A nurse is administering 1 L of 0.9% sodium chloride to a client who is
postoperative and has fluid volume deficit. Which of the following changes should
the nurse identify as an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time
-Correct Answer: Decrease in heart rate
Fluid volume deficit causes tachycardia. With correction of the imbalance, the
heart rate should return to the expected range.
Incorrect Answers:
Increase in hematocrit:
Fluid volume deficit causes an increase in hematocrit level due to depletion of
extracellular fluid. With correction of the imbalance, the hematocrit level should
decrease.
Increase in respiratory rate
Fluid volume deficit causes an increase in respiratory rate. With correction of the
imbalance, the respiratory rate should return to the expected range.
Decrease in capillary refill time
Fluid volume deficit slows capillary refill. With correction of the imbalance,
capillary refill time should return to the expected range.
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
A nurse is caring for a client who is scheduled to be transferred to a long-term care
facility. The client's family questions the nurse about the reasons for the transfer.
Which of the following responses made by the nurse is appropriate?
"The transfer of your family member is being done because the provider knows
what's best."
"Would you like it if we discussed the transfer with your family member?"
"Why are you so concerned about this transfer?"
"I know how you feel. My parent had to be transferred to a long-term care facility."
-Correct Answer: “Would you like it if we discussed the transfer with your family
member?"
This response facilitates therapeutic communication and provides general leads
while maintaining client confidentiality.
Incorrect Answers:
"The transfer of your family member is being done because the provider knows
what's best."
This is a defensive response which can hinder further communication.
"Why are you so concerned about this transfer?"
Asking a why question can make the recipient defensive which can hinder further
communication.
"I know how you feel. My parent had to be transferred to a long-term care facility."
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
This is a sympathetic response, which can interfere with a therapeutic relationship.
A nurse is reviewing the laboratory results of a female client who has
hypovolemia. Which of the following laboratory result would be a priority for the
nurse report to the provider?
BUN 21 mg/dL (10 to 20 mg/dL)
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
Sodium 132 mEq/L (136 to 145 mEq/L)
Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
-Correct Answer: Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
When using the urgent versus nonurgent approach to client care, the nurse should
determine that this potassium level is above the expected reference range and
should be reported to the provider. Potassium affects the contractility of the heart
and this client would be at risk for developing dysrhythmias.
Incorrect answers:
BUN 21 mg/dL (10 to 20 mg/dL)
This BUN level is slightly above the expected reference range and is an expected
non-urgent finding for a client who has hypovolemia; therefore, there is another
laboratory result that is a priority for the nurse to report to the provider.
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
This creatinine level is slightly above the expected reference range and is an
expected non-urgent finding for a client who has hypovolemia; therefore, there is
another laboratory result that is a a priority for the nurse to report to the provider.
Sodium 132 mEq/L (136 to 145 mEq/L)
This sodium level is slightly below the expected reference range and is an expected
non-urgent finding for a client who has hypovolemia; therefore, there is another
laboratory result that is a priority for the nurse to report to the provider.
A nurse is caring for a client who reports difficulty falling asleep. Which of the
following recommendations should the nurse make?
"Drink a cup of hot cocoa before bedtime."
"Maintain a consistent time to wake up each day."
"Exercise 1 hour before going to bed."
"Watch a television program in bed before going to sleep."
-Correct Answer:"Maintain a consistent time to wake up each day."
The client should maintain a consistent time for waking up and going to sleep. This
helps to establish an internal sense of sleep and waking on a daily basis and helps
to maintain it over time. This will help promote sleep for the client.
Incorrect Answers:
"Drink a cup of hot cocoa before bedtime."
Cocoa contains caffeine, which is a stimulant that can interfere with sleep.
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
A nurse is administering 1 L of 0.9% sodium chloride to a client who is
postoperative and has fluid volume deficit. Which of the following changes should
the nurse identify as an indication that the treatment was successful?
Increase in hematocrit
Increase in respiratory rate
Decrease in heart rate
Decrease in capillary refill time
-Correct Answer: Decrease in heart rate
Fluid volume deficit causes tachycardia. With correction of the imbalance, the
heart rate should return to the expected range.
Incorrect Answers:
Increase in hematocrit:
Fluid volume deficit causes an increase in hematocrit level due to depletion of
extracellular fluid. With correction of the imbalance, the hematocrit level should
decrease.
Increase in respiratory rate
Fluid volume deficit causes an increase in respiratory rate. With correction of the
imbalance, the respiratory rate should return to the expected range.
Decrease in capillary refill time
Fluid volume deficit slows capillary refill. With correction of the imbalance,
capillary refill time should return to the expected range.
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
A nurse is caring for a client who is scheduled to be transferred to a long-term care
facility. The client's family questions the nurse about the reasons for the transfer.
Which of the following responses made by the nurse is appropriate?
"The transfer of your family member is being done because the provider knows
what's best."
"Would you like it if we discussed the transfer with your family member?"
"Why are you so concerned about this transfer?"
"I know how you feel. My parent had to be transferred to a long-term care facility."
-Correct Answer: “Would you like it if we discussed the transfer with your family
member?"
This response facilitates therapeutic communication and provides general leads
while maintaining client confidentiality.
Incorrect Answers:
"The transfer of your family member is being done because the provider knows
what's best."
This is a defensive response which can hinder further communication.
"Why are you so concerned about this transfer?"
Asking a why question can make the recipient defensive which can hinder further
communication.
"I know how you feel. My parent had to be transferred to a long-term care facility."
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
This is a sympathetic response, which can interfere with a therapeutic relationship.
A nurse is reviewing the laboratory results of a female client who has
hypovolemia. Which of the following laboratory result would be a priority for the
nurse report to the provider?
BUN 21 mg/dL (10 to 20 mg/dL)
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
Sodium 132 mEq/L (136 to 145 mEq/L)
Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
-Correct Answer: Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
When using the urgent versus nonurgent approach to client care, the nurse should
determine that this potassium level is above the expected reference range and
should be reported to the provider. Potassium affects the contractility of the heart
and this client would be at risk for developing dysrhythmias.
Incorrect answers:
BUN 21 mg/dL (10 to 20 mg/dL)
This BUN level is slightly above the expected reference range and is an expected
non-urgent finding for a client who has hypovolemia; therefore, there is another
laboratory result that is a priority for the nurse to report to the provider.
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
, ATI RN Fundamentals Online Practice 2023 A:
Questions With 100% Complete And Correct Detailed
Answers |A+ Grade
This creatinine level is slightly above the expected reference range and is an
expected non-urgent finding for a client who has hypovolemia; therefore, there is
another laboratory result that is a a priority for the nurse to report to the provider.
Sodium 132 mEq/L (136 to 145 mEq/L)
This sodium level is slightly below the expected reference range and is an expected
non-urgent finding for a client who has hypovolemia; therefore, there is another
laboratory result that is a priority for the nurse to report to the provider.
A nurse is caring for a client who reports difficulty falling asleep. Which of the
following recommendations should the nurse make?
"Drink a cup of hot cocoa before bedtime."
"Maintain a consistent time to wake up each day."
"Exercise 1 hour before going to bed."
"Watch a television program in bed before going to sleep."
-Correct Answer:"Maintain a consistent time to wake up each day."
The client should maintain a consistent time for waking up and going to sleep. This
helps to establish an internal sense of sleep and waking on a daily basis and helps
to maintain it over time. This will help promote sleep for the client.
Incorrect Answers:
"Drink a cup of hot cocoa before bedtime."
Cocoa contains caffeine, which is a stimulant that can interfere with sleep.
