ATI RN Fundamentals Online Practice 2024
k k k k k
Aknnurseknisknadministeringkn1knLknofkn0.9%knsodiumknchloridekntoknaknclientknwhoknisknpostop
erativeknandknhasknfluidknvolumekndeficit.knWhichknofkntheknfollowingknchangesknshouldknthekn
nurseknidentifyknasknanknindicationknthatknthekntreatmentknwasknsuccessful?
Increasekninknhematocrit
increasekninknrespiratoryknrate
Decreasekninknheartknrate
Decreasekninkncapillaryknrefillkntimekn-knANS-CorrectknAnswer:
Decreasekninknheartknrate
Fluidknvolumekndeficitkncauseskntachycardia.knWithkncorrectionknofkntheknimbalance,kntheknhe
artknrateknshouldknreturnkntokntheknexpectedknrange.
IncorrectknAnswers:
Increasekninknhematocrit:
Fluidknvolumekndeficitkncausesknanknincreasekninknhematocritknlevelknduekntokndepletionknofkn
extracellularknfluid.knWithkncorrectionknofkntheknimbalance,kntheknhematocritknlevelknshouldknd
ecrease.
increasekninknrespiratoryknrate
Fluidknvolumekndeficitkncausesknanknincreasekninknrespiratoryknrate.knWithkncorrectionknofknth
eknimbalance,kntheknrespiratoryknrateknshouldknreturnkntokntheknexpectedknrange.
Decreasekninkncapillaryknrefillkntime
Fluidknvolumekndeficitknslowskncapillaryknrefill.knWithkncorrectionknofkntheknimbalance,kncapilla
ryknrefillkntimeknshouldknreturnkntokntheknexpectedknrange.
Aknnursekniskncaringknforknaknclientknwhoknisknscheduledkntoknbekntransferredkntoknaknlong-
termkncareknfacility.knTheknclient'sknfamilyknquestionskntheknnurseknaboutkntheknreasonsknforknt
hekntransfer.knWhichknofkntheknfollowingknresponsesknmadeknbykntheknnurseknisknappropriate
?
"Thekntransferknofknyourknfamilyknmemberknisknbeingkndoneknbecausekntheknproviderknknowsk
nwhat'sknbest."
"Wouldknyouknlikeknitknifknwekndiscussedknthekntransferknwithknyourknfamilyknmember?"
"Whyknareknyouknsoknconcernedknaboutknthiskntransfer?"
"Iknknowknhowknyouknfeel.knMyknparentknhadkntoknbekntransferredkntoknaknlong-
termkncareknfacility."kn-knANS-CorrectknAnswer:
"Wouldknyouknlikeknitknifknwekndiscussedknthekntransferknwithknyourknfamilyknmember?"
Thisknresponseknfacilitateskntherapeutickncommunicationknandknprovideskngeneralknleadsknw
hileknmaintainingknclientknconfidentiality.
,IncorrectknAnswers:
"Thekntransferknofknyourknfamilyknmemberknisknbeingkndoneknbecausekntheknproviderknknowsk
nwhat'sknbest."
Thisknisknakndefensiveknresponseknwhichkncanknhinderknfurtherkncommunication.
"Whyknareknyouknsoknconcernedknaboutknthiskntransfer?"
Askingknaknwhyknquestionkncanknmakekntheknrecipientkndefensiveknwhichkncanknhinderknfurth
erkncommunication.
"Iknknowknhowknyouknfeel.knMyknparentknhadkntoknbekntransferredkntoknaknlong-
termkncareknfacility."
Thisknisknaknsympatheticknresponse,knwhichkncankninterfereknwithknakntherapeuticknrelationshi
p.
Aknnurseknisknreviewingkntheknlaboratoryknresultsknofknaknfemaleknclientknwhoknhasknhypovole
mia.knWhichknofkntheknfollowingknlaboratoryknresultknwouldknbeknaknpriorityknforkntheknnurseknr
eportkntokntheknprovider?
BUNkn21knmg/dLkn(10kntokn20knmg/dL)
Creatininekn1.4knmg/dLkn(0.5kntokn1.1knmg/dL)
Sodiumkn132knmEq/Lkn(136kntokn145knmEq/L)
Potassiumkn5.8knmEq/Lkn(3.5kntokn5knmEq/L)kn-knANS-CorrectknAnswer:
Potassiumkn5.8knmEq/Lkn(3.5kntokn5knmEq/L)
Whenknusingkntheknurgentknversusknnonurgentknapproachkntoknclientkncare,kntheknnurseknsho
uldkndetermineknthatknthisknpotassiumknlevelknisknabovekntheknexpectedknreferenceknrangekna
ndknshouldknbeknreportedkntokntheknprovider.knPotassiumknaffectsknthekncontractilityknofknthekn
heartknandknthisknclientknwouldknbeknatknriskknforkndevelopingkndysrhythmias.
Incorrectknanswers:
BUNkn21knmg/dLkn(10kntokn20knmg/dL)
ThisknBUNknlevelknisknslightlyknabovekntheknexpectedknreferenceknrangeknandknisknanknexpect
edknnon-
urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Creatininekn1.4knmg/dLkn(0.5kntokn1.1knmg/dL)
Thiskncreatinineknlevelknisknslightlyknabovekntheknexpectedknreferenceknrangeknandknisknankne
xpectedknnon-
urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Sodiumkn132knmEq/Lkn(136kntokn145knmEq/L)
Thisknsodiumknlevelknisknslightlyknbelowkntheknexpectedknreferenceknrangeknandknisknanknexpe
ctedknnon-
,urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Aknnursekniskncaringknforknaknclientknwhoknreportskndifficultyknfallingknasleep.knWhichknofknthekn
followingknrecommendationsknshouldkntheknnurseknmake?
"Drinkknakncupknofknhotkncocoaknbeforeknbedtime."
"Maintainknaknconsistentkntimekntoknwakeknupkneachknday."
"Exercisekn1knhourknbeforekngoingkntoknbed."
"Watchknakntelevisionknprogramkninknbedknbeforekngoingkntoknsleep."kn-knANS-
CorrectknAnswer:
"Maintainknaknconsistentkntimekntoknwakeknupkneachknday."
Theknclientknshouldknmaintainknaknconsistentkntimeknforknwakingknupknandkngoingkntoknsleep.kn
Thisknhelpskntoknestablishknankninternalknsenseknofknsleepknandknwakingknonknakndailyknbasiskn
andknhelpskntoknmaintainknitknoverkntime.knThisknwillknhelpknpromoteknsleepknforkntheknclient.
IncorrectknAnswers:
"Drinkknakncupknofknhotkncocoaknbeforeknbedtime."
Cocoakncontainskncaffeine,knwhichknisknaknstimulantknthatkncankninterfereknwithknsleep.
"Exercisekn1knhourknbeforekngoingkntoknbed."
Exercisingknwithinkn2knhrknofknbedtimekncankninterfereknwithknsleep.
"Watchknakntelevisionknprogramkninknbedknbeforekngoingkntoknsleep."
Theknclientknshouldknavoidknwatchingkntelevisionkninknbedknbeforekngoingkntoknsleepkntoknredu
ceknstimulationkninknorderkntoknpromoteknrest.
Aknnurseknonknaknmedical-
surgicalknunitkniskncaringknforknaknclientknwhoknhasknaknnewknprescriptionknforknwristknrestraint
s.knWhichknofknfollowingknactionsknshouldkntheknnursekntake?
Padkntheknclient'sknwristknbeforeknapplyingkntheknrestraints.
Evaluatekntheknclient'skncirculationkneverykn8knhrknafterknapplication.
Removekntheknrestraintskneverykn4knhrkntoknevaluatekntheknclient'sknstatus.
Securekntheknrestraintkntieskntokntheknbed'sknsideknrails.kn-knANS-CorrectknAnswer:
Padkntheknclient'sknwristknbeforeknapplyingkntheknrestraints.
Theknuseknofknrestraintsknwithoutknpaddingkncanknabradekntheknclient'sknskin,knresultingkninknc
lientkninjury.
IncorrectknAnswers:
Evaluatekntheknclient'skncirculationkneverykn8knhrknafterknapplication.
Theknnurseknshouldknevaluatekntheknclient'skncirculation,knrangeknofknmotion,knvitalknsigns,kna
ndknoverallknstatuskneverykn15knminknafterkninitialknapplicationknofknrestraints.
Removekntheknrestraintskneverykn4knhrkntoknevaluatekntheknclient'sknstatus.
, Theknnurseknshouldknremovekntheknrestraintsknatknleastkneverykn2knhrkntoknrepositionknthekncli
entknandknassessknneedsknforknhygieneknandkntoileting.
Securekntheknrestraintkntieskntokntheknbed'sknsideknrails.
Theknnurseknshouldknsecurekntheknrestraintkntieskntoknaknpartknofkntheknbedknframeknthatknmov
esknwithkntheknclientkntoknreducekntheknriskknofkninjury.
Aknclientknwhoknisknnonambulatoryknnotifieskntheknnurseknthatkntheirkntrashkncanknisknonknfire.kn
Afterkntheknnurseknconfirmskntheknpresenceknofkntheknfire,knwhichknofkntheknfollowingknactionsk
nshouldkntheknnursekntakeknnext?
Activatekntheknemergencyknfireknalarm.
Extinguishkntheknfire.
Evacuatekntheknclient.
Confinekntheknfire.kn-knANS-CorrectknAnswer:
Evacuatekntheknclient.
AccordingkntokntheknRACEknmnemonic,kntheknfirstknactionkninknresponsekntoknaknfirekniskntoknre
scuekntheknclients,knmovingknthemkntoknaknsafeknarea.
IncorrectknAnswers:
Activatekntheknemergencyknfireknalarm.
AccordingkntokntheknRACEknmnemonic,kntheknsecondknactionkninknresponsekntoknaknfireknisknto
knactivatekntheknalarm.
Extinguishkntheknfire.
AccordingkntokntheknRACEknmnemonic,kntheknfourthknactionkninknresponsekntoknaknfirekniskntokn
attemptkntoknextinguishkntheknfire.
Confinekntheknfire.
AccordingkntokntheknRACEknmnemonic,kntheknthirdknactionkninknresponsekntoknaknfirekniskntoknc
ontainkntheknfireknbyknclosingknallknthekndoorsknandknwindowskninkntheknarea.knTheknnurseknsh
ouldknalsoknturnknoffknoxygenknandknelectricalknequipmentkninkntheknareaknofkntheknfire.
Aknnurseknisknpreparingkntoknadministerkn0.9%knsodiumknchloridekn750knmLknIVkntokninfusekno
verkn7knhr.knTheknnurseknshouldknsetknthekninfusionknpumpkntokndeliverknhowknmanyknmL/hr?kn
-knANS-107knmL/hr
Aknnurseknisknassessingknfourknadultknclients.knWhichknofkntheknfollowingknphysicalknassessm
entkntechniquesknshouldkntheknnurseknuse?
UsekntheknFace,knLegs,knActivity,knCry,knandknConsolabilitykn(FLACC)knpainknratingknscaleknf
orknaknclientknwhoknisknexperiencingknpain.
Ensurekntheknbladderknofkntheknbloodknpressurekncuffknsurroundskn80%knofkntheknclient'sknar
m.
Obtainknanknapicalknheartknrateknbyknauscultatingknatkntheknthirdknintercostalknspaceknleftknofkn
theknsternum.
k k k k k
Aknnurseknisknadministeringkn1knLknofkn0.9%knsodiumknchloridekntoknaknclientknwhoknisknpostop
erativeknandknhasknfluidknvolumekndeficit.knWhichknofkntheknfollowingknchangesknshouldknthekn
nurseknidentifyknasknanknindicationknthatknthekntreatmentknwasknsuccessful?
Increasekninknhematocrit
increasekninknrespiratoryknrate
Decreasekninknheartknrate
Decreasekninkncapillaryknrefillkntimekn-knANS-CorrectknAnswer:
Decreasekninknheartknrate
Fluidknvolumekndeficitkncauseskntachycardia.knWithkncorrectionknofkntheknimbalance,kntheknhe
artknrateknshouldknreturnkntokntheknexpectedknrange.
IncorrectknAnswers:
Increasekninknhematocrit:
Fluidknvolumekndeficitkncausesknanknincreasekninknhematocritknlevelknduekntokndepletionknofkn
extracellularknfluid.knWithkncorrectionknofkntheknimbalance,kntheknhematocritknlevelknshouldknd
ecrease.
increasekninknrespiratoryknrate
Fluidknvolumekndeficitkncausesknanknincreasekninknrespiratoryknrate.knWithkncorrectionknofknth
eknimbalance,kntheknrespiratoryknrateknshouldknreturnkntokntheknexpectedknrange.
Decreasekninkncapillaryknrefillkntime
Fluidknvolumekndeficitknslowskncapillaryknrefill.knWithkncorrectionknofkntheknimbalance,kncapilla
ryknrefillkntimeknshouldknreturnkntokntheknexpectedknrange.
Aknnursekniskncaringknforknaknclientknwhoknisknscheduledkntoknbekntransferredkntoknaknlong-
termkncareknfacility.knTheknclient'sknfamilyknquestionskntheknnurseknaboutkntheknreasonsknforknt
hekntransfer.knWhichknofkntheknfollowingknresponsesknmadeknbykntheknnurseknisknappropriate
?
"Thekntransferknofknyourknfamilyknmemberknisknbeingkndoneknbecausekntheknproviderknknowsk
nwhat'sknbest."
"Wouldknyouknlikeknitknifknwekndiscussedknthekntransferknwithknyourknfamilyknmember?"
"Whyknareknyouknsoknconcernedknaboutknthiskntransfer?"
"Iknknowknhowknyouknfeel.knMyknparentknhadkntoknbekntransferredkntoknaknlong-
termkncareknfacility."kn-knANS-CorrectknAnswer:
"Wouldknyouknlikeknitknifknwekndiscussedknthekntransferknwithknyourknfamilyknmember?"
Thisknresponseknfacilitateskntherapeutickncommunicationknandknprovideskngeneralknleadsknw
hileknmaintainingknclientknconfidentiality.
,IncorrectknAnswers:
"Thekntransferknofknyourknfamilyknmemberknisknbeingkndoneknbecausekntheknproviderknknowsk
nwhat'sknbest."
Thisknisknakndefensiveknresponseknwhichkncanknhinderknfurtherkncommunication.
"Whyknareknyouknsoknconcernedknaboutknthiskntransfer?"
Askingknaknwhyknquestionkncanknmakekntheknrecipientkndefensiveknwhichkncanknhinderknfurth
erkncommunication.
"Iknknowknhowknyouknfeel.knMyknparentknhadkntoknbekntransferredkntoknaknlong-
termkncareknfacility."
Thisknisknaknsympatheticknresponse,knwhichkncankninterfereknwithknakntherapeuticknrelationshi
p.
Aknnurseknisknreviewingkntheknlaboratoryknresultsknofknaknfemaleknclientknwhoknhasknhypovole
mia.knWhichknofkntheknfollowingknlaboratoryknresultknwouldknbeknaknpriorityknforkntheknnurseknr
eportkntokntheknprovider?
BUNkn21knmg/dLkn(10kntokn20knmg/dL)
Creatininekn1.4knmg/dLkn(0.5kntokn1.1knmg/dL)
Sodiumkn132knmEq/Lkn(136kntokn145knmEq/L)
Potassiumkn5.8knmEq/Lkn(3.5kntokn5knmEq/L)kn-knANS-CorrectknAnswer:
Potassiumkn5.8knmEq/Lkn(3.5kntokn5knmEq/L)
Whenknusingkntheknurgentknversusknnonurgentknapproachkntoknclientkncare,kntheknnurseknsho
uldkndetermineknthatknthisknpotassiumknlevelknisknabovekntheknexpectedknreferenceknrangekna
ndknshouldknbeknreportedkntokntheknprovider.knPotassiumknaffectsknthekncontractilityknofknthekn
heartknandknthisknclientknwouldknbeknatknriskknforkndevelopingkndysrhythmias.
Incorrectknanswers:
BUNkn21knmg/dLkn(10kntokn20knmg/dL)
ThisknBUNknlevelknisknslightlyknabovekntheknexpectedknreferenceknrangeknandknisknanknexpect
edknnon-
urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Creatininekn1.4knmg/dLkn(0.5kntokn1.1knmg/dL)
Thiskncreatinineknlevelknisknslightlyknabovekntheknexpectedknreferenceknrangeknandknisknankne
xpectedknnon-
urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Sodiumkn132knmEq/Lkn(136kntokn145knmEq/L)
Thisknsodiumknlevelknisknslightlyknbelowkntheknexpectedknreferenceknrangeknandknisknanknexpe
ctedknnon-
,urgentknfindingknforknaknclientknwhoknhasknhypovolemia;kntherefore,knthereknisknanotherknlabo
ratoryknresultknthatknisknaknpriorityknforkntheknnursekntoknreportkntokntheknprovider.
Aknnursekniskncaringknforknaknclientknwhoknreportskndifficultyknfallingknasleep.knWhichknofknthekn
followingknrecommendationsknshouldkntheknnurseknmake?
"Drinkknakncupknofknhotkncocoaknbeforeknbedtime."
"Maintainknaknconsistentkntimekntoknwakeknupkneachknday."
"Exercisekn1knhourknbeforekngoingkntoknbed."
"Watchknakntelevisionknprogramkninknbedknbeforekngoingkntoknsleep."kn-knANS-
CorrectknAnswer:
"Maintainknaknconsistentkntimekntoknwakeknupkneachknday."
Theknclientknshouldknmaintainknaknconsistentkntimeknforknwakingknupknandkngoingkntoknsleep.kn
Thisknhelpskntoknestablishknankninternalknsenseknofknsleepknandknwakingknonknakndailyknbasiskn
andknhelpskntoknmaintainknitknoverkntime.knThisknwillknhelpknpromoteknsleepknforkntheknclient.
IncorrectknAnswers:
"Drinkknakncupknofknhotkncocoaknbeforeknbedtime."
Cocoakncontainskncaffeine,knwhichknisknaknstimulantknthatkncankninterfereknwithknsleep.
"Exercisekn1knhourknbeforekngoingkntoknbed."
Exercisingknwithinkn2knhrknofknbedtimekncankninterfereknwithknsleep.
"Watchknakntelevisionknprogramkninknbedknbeforekngoingkntoknsleep."
Theknclientknshouldknavoidknwatchingkntelevisionkninknbedknbeforekngoingkntoknsleepkntoknredu
ceknstimulationkninknorderkntoknpromoteknrest.
Aknnurseknonknaknmedical-
surgicalknunitkniskncaringknforknaknclientknwhoknhasknaknnewknprescriptionknforknwristknrestraint
s.knWhichknofknfollowingknactionsknshouldkntheknnursekntake?
Padkntheknclient'sknwristknbeforeknapplyingkntheknrestraints.
Evaluatekntheknclient'skncirculationkneverykn8knhrknafterknapplication.
Removekntheknrestraintskneverykn4knhrkntoknevaluatekntheknclient'sknstatus.
Securekntheknrestraintkntieskntokntheknbed'sknsideknrails.kn-knANS-CorrectknAnswer:
Padkntheknclient'sknwristknbeforeknapplyingkntheknrestraints.
Theknuseknofknrestraintsknwithoutknpaddingkncanknabradekntheknclient'sknskin,knresultingkninknc
lientkninjury.
IncorrectknAnswers:
Evaluatekntheknclient'skncirculationkneverykn8knhrknafterknapplication.
Theknnurseknshouldknevaluatekntheknclient'skncirculation,knrangeknofknmotion,knvitalknsigns,kna
ndknoverallknstatuskneverykn15knminknafterkninitialknapplicationknofknrestraints.
Removekntheknrestraintskneverykn4knhrkntoknevaluatekntheknclient'sknstatus.
, Theknnurseknshouldknremovekntheknrestraintsknatknleastkneverykn2knhrkntoknrepositionknthekncli
entknandknassessknneedsknforknhygieneknandkntoileting.
Securekntheknrestraintkntieskntokntheknbed'sknsideknrails.
Theknnurseknshouldknsecurekntheknrestraintkntieskntoknaknpartknofkntheknbedknframeknthatknmov
esknwithkntheknclientkntoknreducekntheknriskknofkninjury.
Aknclientknwhoknisknnonambulatoryknnotifieskntheknnurseknthatkntheirkntrashkncanknisknonknfire.kn
Afterkntheknnurseknconfirmskntheknpresenceknofkntheknfire,knwhichknofkntheknfollowingknactionsk
nshouldkntheknnursekntakeknnext?
Activatekntheknemergencyknfireknalarm.
Extinguishkntheknfire.
Evacuatekntheknclient.
Confinekntheknfire.kn-knANS-CorrectknAnswer:
Evacuatekntheknclient.
AccordingkntokntheknRACEknmnemonic,kntheknfirstknactionkninknresponsekntoknaknfirekniskntoknre
scuekntheknclients,knmovingknthemkntoknaknsafeknarea.
IncorrectknAnswers:
Activatekntheknemergencyknfireknalarm.
AccordingkntokntheknRACEknmnemonic,kntheknsecondknactionkninknresponsekntoknaknfireknisknto
knactivatekntheknalarm.
Extinguishkntheknfire.
AccordingkntokntheknRACEknmnemonic,kntheknfourthknactionkninknresponsekntoknaknfirekniskntokn
attemptkntoknextinguishkntheknfire.
Confinekntheknfire.
AccordingkntokntheknRACEknmnemonic,kntheknthirdknactionkninknresponsekntoknaknfirekniskntoknc
ontainkntheknfireknbyknclosingknallknthekndoorsknandknwindowskninkntheknarea.knTheknnurseknsh
ouldknalsoknturnknoffknoxygenknandknelectricalknequipmentkninkntheknareaknofkntheknfire.
Aknnurseknisknpreparingkntoknadministerkn0.9%knsodiumknchloridekn750knmLknIVkntokninfusekno
verkn7knhr.knTheknnurseknshouldknsetknthekninfusionknpumpkntokndeliverknhowknmanyknmL/hr?kn
-knANS-107knmL/hr
Aknnurseknisknassessingknfourknadultknclients.knWhichknofkntheknfollowingknphysicalknassessm
entkntechniquesknshouldkntheknnurseknuse?
UsekntheknFace,knLegs,knActivity,knCry,knandknConsolabilitykn(FLACC)knpainknratingknscaleknf
orknaknclientknwhoknisknexperiencingknpain.
Ensurekntheknbladderknofkntheknbloodknpressurekncuffknsurroundskn80%knofkntheknclient'sknar
m.
Obtainknanknapicalknheartknrateknbyknauscultatingknatkntheknthirdknintercostalknspaceknleftknofkn
theknsternum.
