ATI RN FUNDAMENTALS ONLINE PRACTICE
x x x x
2024
x x
A QUESTIONS AND VERIFIED CORRECT
x x x x
ANSWERS/CERTIFIED TEST SOLUTIONS
x x x
x
A xnurse xis xadministering x1 xL xof x0.9% xsodium xchloride xto xa xclient xwho xis
xpostoperative xand xhas xfluid xvolume xdeficit. xWhich xof xthe xfollowing xchanges xshould
xthe xnurse xidentify xas xan xindication xthat xthe xtreatment xwas xsuccessful? x
x
Increase xin xhematocrit
xincrease xin xrespiratory xrate x
Decrease xin xheart xrate x
Decrease xin xcapillary xrefill xtime x- xCorrect xAnswer: x
Decrease xin xheart xrate x
Fluid xvolume xdeficit xcauses xtachycardia. xWith xcorrection xof xthe ximbalance, xthe xheart
xrate xshould xreturn xto xthe xexpected xrange. x
x
Incorrect xAnswers: x
Increase xin xhematocrit: x
Fluid xvolume xdeficit xcauses xan xincrease xin xhematocrit xlevel xdue xto xdepletion xof
xextracellular xfluid. xWith xcorrection xof xthe ximbalance, xthe xhematocrit xlevel xshould
xdecrease. x
x
increase xin xrespiratory xrate x
Fluid xvolume xdeficit xcauses xan xincrease xin xrespiratory xrate. xWith xcorrection xof xthe
ximbalance, xthe xrespiratory xrate xshould xreturn xto xthe xexpected xrange. x
x
Decrease xin xcapillary xrefill xtime x
Fluid xvolume xdeficit xslows xcapillary xrefill. xWith xcorrection xof xthe ximbalance, xcapillary
xrefill xtime xshould xreturn xto xthe xexpected xrange. x
x
A xnurse xis xcaring xfor xa xclient xwho xis xscheduled xto xbe xtransferred xto xa xlong-term
xcare xfacility. xThe xclient's xfamily xquestions xthe xnurse xabout xthe xreasons xfor xthe
xtransfer. xWhich xof xthe xfollowing xresponses xmade xby xthe xnurse xis xappropriate? x
x
"The xtransfer xof xyour xfamily xmember xis xbeing xdone xbecause xthe xprovider xknows
xwhat's x
x
best."
x
"Would xyou xlike xit xif xwe xdiscussed xthe xtransfer xwith xyour xfamily
xmember?"
x
"Why xare xyou xso xconcerned xabout xthis
xtransfer?"
x
"I xknow xhow xyou xfeel. xMy xparent xhad xto xbe xtransferred xto xa xlong-term xcare
xfacility." x-
, x
Correct
xAnswer:
x
"Would xyou xlike xit xif xwe xdiscussed xthe xtransfer xwith xyour xfamily
xmember?"
This xresponse xfacilitates xtherapeutic xcommunication xand xprovides xgeneral xleads
xwhile x
x
maintaining xclient
xconfidentiality.
x
Incorrect xAnswers: x
"The xtransfer xof xyour xfamily xmember xis xbeing xdone xbecause xthe xprovider xknows
xwhat's x
x
best."
x
This xis xa xdefensive xresponse xwhich xcan xhinder xfurther
xcommunication.
x
"Why xare xyou xso xconcerned xabout xthis xtransfer?" x
Asking xa xwhy xquestion xcan xmake xthe xrecipient xdefensive xwhich xcan xhinder xfurther
xcommunication. x
x
"I xknow xhow xyou xfeel. xMy xparent xhad xto xbe xtransferred xto xa xlong-term xcare
xfacility." xThis xis xa xsympathetic xresponse, xwhich xcan xinterfere xwith xa xtherapeutic
xrelationship. x
x
A xnurse xis xreviewing xthe xlaboratory xresults xof xa xfemale xclient xwho xhas xhypovolemia.
xWhich xof xthe xfollowing xlaboratory xresult xwould xbe xa xpriority xfor xthe xnurse xreport xto
xthe xprovider? x
x
BUN x21 xmg/dL x(10 xto x20 xmg/dL) x
Creatinine x1.4 xmg/dL x(0.5 xto x1.1 xmg/dL) x
Sodium x132 xmEq/L x(136 xto x145 xmEq/L) x
Potassium x5.8 xmEq/L x(3.5 xto x5 xmEq/L) x- xCorrect xAnswer: x
Potassium x5.8 xmEq/L x(3.5 xto x5 xmEq/L) x
When xusing xthe xurgent xversus xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthis xpotassium xlevel xis xabove xthe xexpected xreference xrange xand
xshould xbe xreported xto xthe xprovider. xPotassium xaffects xthe xcontractility xof xthe xheart
xand xthis xclient xwould xbe xat xrisk xfor xdeveloping xdysrhythmias. x
x
Incorrect xanswers: x
BUN x21 xmg/dL x(10 xto x20 xmg/dL) x
This xBUN xlevel xis xslightly xabove xthe xexpected xreference xrange xand xis xan xexpected
xnonurgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis xanother
xlaboratory xresult xthat xis xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
Creatinine x1.4 xmg/dL x(0.5 xto x1.1 xmg/dL) x
,This xcreatinine xlevel xis xslightly xabove xthe xexpected xreference xrange xand xis xan
xexpected xnon-urgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis
xanother xlaboratory xresult xthat xis xa xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
Sodium x132 xmEq/L x(136 xto x145 xmEq/L) x
This xsodium xlevel xis xslightly xbelow xthe xexpected xreference xrange xand xis xan
xexpected xnon-urgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis
xanother xlaboratory xresult xthat xis xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
A xnurse xis xcaring xfor xa xclient xwho xreports xdifficulty xfalling xasleep. xWhich xof xthe
xfollowing x
x
recommendations xshould xthe xnurse
xmake?
x
x
"Drink xa xcup xof xhot xcocoa xbefore
xbedtime."
"Maintain xa xconsistent xtime xto xwake xup xeach
xday."
"Exercise x1 xhour xbefore xgoing xto xbed." x
"Watch xa xtelevision xprogram xin xbed xbefore xgoing xto xsleep." x- xCorrect xAnswer: x
"Maintain xa xconsistent xtime xto xwake xup xeach xday." x
The xclient xshould xmaintain xa xconsistent xtime xfor xwaking xup xand xgoing xto xsleep. xThis
xhelps xto xestablish xan xinternal xsense xof xsleep xand xwaking xon xa xdaily xbasis xand
xhelps xto xmaintain xit xover xtime. xThis xwill xhelp xpromote xsleep xfor xthe xclient. x
x
x
Incorrect
xAnswers:
x
"Drink xa xcup xof xhot xcocoa xbefore
xbedtime."
Cocoa xcontains xcaffeine, xwhich xis xa xstimulant xthat xcan xinterfere xwith
xsleep.
x
x
"Exercise x1 xhour xbefore xgoing xto
xbed."
Exercising xwithin x2 xhr xof xbedtime xcan xinterfere xwith
xsleep.
x
"Watch xa xtelevision xprogram xin xbed xbefore xgoing xto xsleep." x
The xclient xshould xavoid xwatching xtelevision xin xbed xbefore xgoing xto xsleep xto xreduce
xstimulation xin xorder xto xpromote xrest. x
x
A xnurse xon xa xmedical-surgical xunit xis xcaring xfor xa xclient xwho xhas xa xnew
xprescription xfor x
x
wrist xrestraints. xWhich xof xfollowing xactions xshould xthe xnurse
xtake?
x
Pad xthe xclient's xwrist xbefore xapplying xthe xrestraints. x
, Evaluate xthe xclient's xcirculation xevery x8 xhr xafter xapplication. x
Remove xthe xrestraints xevery x4 xhr xto xevaluate xthe xclient's xstatus. x
Secure xthe xrestraint xties xto xthe xbed's xside xrails. x- xCorrect xAnswer: x
Pad xthe xclient's xwrist xbefore xapplying xthe xrestraints. x
The xuse xof xrestraints xwithout xpadding xcan xabrade xthe xclient's xskin, xresulting xin xclient
xinjury. x
x
Incorrect xAnswers: x
Evaluate xthe xclient's xcirculation xevery x8 xhr xafter xapplication. x
The xnurse xshould xevaluate xthe xclient's xcirculation, xrange xof xmotion, xvital xsigns, xand
xoverall xstatus xevery x15 xmin xafter xinitial xapplication xof xrestraints. x
x
Remove xthe xrestraints xevery x4 xhr xto xevaluate xthe xclient's xstatus. x
The xnurse xshould xremove xthe xrestraints xat xleast xevery x2 xhr xto xreposition xthe xclient
xand xassess xneeds xfor xhygiene xand xtoileting. x
x
Secure xthe xrestraint xties xto xthe xbed's xside xrails. x
The xnurse xshould xsecure xthe xrestraint xties xto xa xpart xof xthe xbed xframe xthat xmoves
xwith xthe xclient xto xreduce xthe xrisk xof xinjury. x
x
A xclient xwho xis xnonambulatory xnotifies xthe xnurse xthat xtheir xtrash xcan xis xon xfire. xAfter
xthe x
nurse xconfirms xthe xpresence xof xthe xfire, xwhich xof xthe xfollowing xactions xshould xthe
xnurse x
x
take
xnext?
x
Activate xthe xemergency xfire xalarm. x
Extinguish xthe xfire. x
Evacuate xthe xclient. x
Confine xthe xfire. x- xCorrect xAnswer: x
Evacuate xthe xclient. x
According xto xthe xRACE xmnemonic, xthe xfirst xaction xin xresponse xto xa xfire xis xto xrescue
xthe xclients, xmoving xthem xto xa xsafe xarea. x
x
Incorrect xAnswers: x
Activate xthe xemergency xfire xalarm. x
According xto xthe xRACE xmnemonic, xthe xsecond xaction xin xresponse xto xa xfire xis xto
xactivate xthe xalarm. x
x
Extinguish xthe xfire. x
According xto xthe xRACE xmnemonic, xthe xfourth xaction xin xresponse xto xa xfire xis xto
xattempt xto xextinguish xthe xfire. x
x
Confine xthe xfire. x
According xto xthe xRACE xmnemonic, xthe xthird xaction xin xresponse xto xa xfire xis xto
xcontain xthe xfire xby xclosing xall xthe xdoors xand xwindows xin xthe xarea. xThe xnurse
xshould xalso xturn xoff xoxygen xand xelectrical xequipment xin xthe xarea xof xthe xfire. x
x x x x
2024
x x
A QUESTIONS AND VERIFIED CORRECT
x x x x
ANSWERS/CERTIFIED TEST SOLUTIONS
x x x
x
A xnurse xis xadministering x1 xL xof x0.9% xsodium xchloride xto xa xclient xwho xis
xpostoperative xand xhas xfluid xvolume xdeficit. xWhich xof xthe xfollowing xchanges xshould
xthe xnurse xidentify xas xan xindication xthat xthe xtreatment xwas xsuccessful? x
x
Increase xin xhematocrit
xincrease xin xrespiratory xrate x
Decrease xin xheart xrate x
Decrease xin xcapillary xrefill xtime x- xCorrect xAnswer: x
Decrease xin xheart xrate x
Fluid xvolume xdeficit xcauses xtachycardia. xWith xcorrection xof xthe ximbalance, xthe xheart
xrate xshould xreturn xto xthe xexpected xrange. x
x
Incorrect xAnswers: x
Increase xin xhematocrit: x
Fluid xvolume xdeficit xcauses xan xincrease xin xhematocrit xlevel xdue xto xdepletion xof
xextracellular xfluid. xWith xcorrection xof xthe ximbalance, xthe xhematocrit xlevel xshould
xdecrease. x
x
increase xin xrespiratory xrate x
Fluid xvolume xdeficit xcauses xan xincrease xin xrespiratory xrate. xWith xcorrection xof xthe
ximbalance, xthe xrespiratory xrate xshould xreturn xto xthe xexpected xrange. x
x
Decrease xin xcapillary xrefill xtime x
Fluid xvolume xdeficit xslows xcapillary xrefill. xWith xcorrection xof xthe ximbalance, xcapillary
xrefill xtime xshould xreturn xto xthe xexpected xrange. x
x
A xnurse xis xcaring xfor xa xclient xwho xis xscheduled xto xbe xtransferred xto xa xlong-term
xcare xfacility. xThe xclient's xfamily xquestions xthe xnurse xabout xthe xreasons xfor xthe
xtransfer. xWhich xof xthe xfollowing xresponses xmade xby xthe xnurse xis xappropriate? x
x
"The xtransfer xof xyour xfamily xmember xis xbeing xdone xbecause xthe xprovider xknows
xwhat's x
x
best."
x
"Would xyou xlike xit xif xwe xdiscussed xthe xtransfer xwith xyour xfamily
xmember?"
x
"Why xare xyou xso xconcerned xabout xthis
xtransfer?"
x
"I xknow xhow xyou xfeel. xMy xparent xhad xto xbe xtransferred xto xa xlong-term xcare
xfacility." x-
, x
Correct
xAnswer:
x
"Would xyou xlike xit xif xwe xdiscussed xthe xtransfer xwith xyour xfamily
xmember?"
This xresponse xfacilitates xtherapeutic xcommunication xand xprovides xgeneral xleads
xwhile x
x
maintaining xclient
xconfidentiality.
x
Incorrect xAnswers: x
"The xtransfer xof xyour xfamily xmember xis xbeing xdone xbecause xthe xprovider xknows
xwhat's x
x
best."
x
This xis xa xdefensive xresponse xwhich xcan xhinder xfurther
xcommunication.
x
"Why xare xyou xso xconcerned xabout xthis xtransfer?" x
Asking xa xwhy xquestion xcan xmake xthe xrecipient xdefensive xwhich xcan xhinder xfurther
xcommunication. x
x
"I xknow xhow xyou xfeel. xMy xparent xhad xto xbe xtransferred xto xa xlong-term xcare
xfacility." xThis xis xa xsympathetic xresponse, xwhich xcan xinterfere xwith xa xtherapeutic
xrelationship. x
x
A xnurse xis xreviewing xthe xlaboratory xresults xof xa xfemale xclient xwho xhas xhypovolemia.
xWhich xof xthe xfollowing xlaboratory xresult xwould xbe xa xpriority xfor xthe xnurse xreport xto
xthe xprovider? x
x
BUN x21 xmg/dL x(10 xto x20 xmg/dL) x
Creatinine x1.4 xmg/dL x(0.5 xto x1.1 xmg/dL) x
Sodium x132 xmEq/L x(136 xto x145 xmEq/L) x
Potassium x5.8 xmEq/L x(3.5 xto x5 xmEq/L) x- xCorrect xAnswer: x
Potassium x5.8 xmEq/L x(3.5 xto x5 xmEq/L) x
When xusing xthe xurgent xversus xnonurgent xapproach xto xclient xcare, xthe xnurse xshould
xdetermine xthat xthis xpotassium xlevel xis xabove xthe xexpected xreference xrange xand
xshould xbe xreported xto xthe xprovider. xPotassium xaffects xthe xcontractility xof xthe xheart
xand xthis xclient xwould xbe xat xrisk xfor xdeveloping xdysrhythmias. x
x
Incorrect xanswers: x
BUN x21 xmg/dL x(10 xto x20 xmg/dL) x
This xBUN xlevel xis xslightly xabove xthe xexpected xreference xrange xand xis xan xexpected
xnonurgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis xanother
xlaboratory xresult xthat xis xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
Creatinine x1.4 xmg/dL x(0.5 xto x1.1 xmg/dL) x
,This xcreatinine xlevel xis xslightly xabove xthe xexpected xreference xrange xand xis xan
xexpected xnon-urgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis
xanother xlaboratory xresult xthat xis xa xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
Sodium x132 xmEq/L x(136 xto x145 xmEq/L) x
This xsodium xlevel xis xslightly xbelow xthe xexpected xreference xrange xand xis xan
xexpected xnon-urgent xfinding xfor xa xclient xwho xhas xhypovolemia; xtherefore, xthere xis
xanother xlaboratory xresult xthat xis xa xpriority xfor xthe xnurse xto xreport xto xthe xprovider. x
x
A xnurse xis xcaring xfor xa xclient xwho xreports xdifficulty xfalling xasleep. xWhich xof xthe
xfollowing x
x
recommendations xshould xthe xnurse
xmake?
x
x
"Drink xa xcup xof xhot xcocoa xbefore
xbedtime."
"Maintain xa xconsistent xtime xto xwake xup xeach
xday."
"Exercise x1 xhour xbefore xgoing xto xbed." x
"Watch xa xtelevision xprogram xin xbed xbefore xgoing xto xsleep." x- xCorrect xAnswer: x
"Maintain xa xconsistent xtime xto xwake xup xeach xday." x
The xclient xshould xmaintain xa xconsistent xtime xfor xwaking xup xand xgoing xto xsleep. xThis
xhelps xto xestablish xan xinternal xsense xof xsleep xand xwaking xon xa xdaily xbasis xand
xhelps xto xmaintain xit xover xtime. xThis xwill xhelp xpromote xsleep xfor xthe xclient. x
x
x
Incorrect
xAnswers:
x
"Drink xa xcup xof xhot xcocoa xbefore
xbedtime."
Cocoa xcontains xcaffeine, xwhich xis xa xstimulant xthat xcan xinterfere xwith
xsleep.
x
x
"Exercise x1 xhour xbefore xgoing xto
xbed."
Exercising xwithin x2 xhr xof xbedtime xcan xinterfere xwith
xsleep.
x
"Watch xa xtelevision xprogram xin xbed xbefore xgoing xto xsleep." x
The xclient xshould xavoid xwatching xtelevision xin xbed xbefore xgoing xto xsleep xto xreduce
xstimulation xin xorder xto xpromote xrest. x
x
A xnurse xon xa xmedical-surgical xunit xis xcaring xfor xa xclient xwho xhas xa xnew
xprescription xfor x
x
wrist xrestraints. xWhich xof xfollowing xactions xshould xthe xnurse
xtake?
x
Pad xthe xclient's xwrist xbefore xapplying xthe xrestraints. x
, Evaluate xthe xclient's xcirculation xevery x8 xhr xafter xapplication. x
Remove xthe xrestraints xevery x4 xhr xto xevaluate xthe xclient's xstatus. x
Secure xthe xrestraint xties xto xthe xbed's xside xrails. x- xCorrect xAnswer: x
Pad xthe xclient's xwrist xbefore xapplying xthe xrestraints. x
The xuse xof xrestraints xwithout xpadding xcan xabrade xthe xclient's xskin, xresulting xin xclient
xinjury. x
x
Incorrect xAnswers: x
Evaluate xthe xclient's xcirculation xevery x8 xhr xafter xapplication. x
The xnurse xshould xevaluate xthe xclient's xcirculation, xrange xof xmotion, xvital xsigns, xand
xoverall xstatus xevery x15 xmin xafter xinitial xapplication xof xrestraints. x
x
Remove xthe xrestraints xevery x4 xhr xto xevaluate xthe xclient's xstatus. x
The xnurse xshould xremove xthe xrestraints xat xleast xevery x2 xhr xto xreposition xthe xclient
xand xassess xneeds xfor xhygiene xand xtoileting. x
x
Secure xthe xrestraint xties xto xthe xbed's xside xrails. x
The xnurse xshould xsecure xthe xrestraint xties xto xa xpart xof xthe xbed xframe xthat xmoves
xwith xthe xclient xto xreduce xthe xrisk xof xinjury. x
x
A xclient xwho xis xnonambulatory xnotifies xthe xnurse xthat xtheir xtrash xcan xis xon xfire. xAfter
xthe x
nurse xconfirms xthe xpresence xof xthe xfire, xwhich xof xthe xfollowing xactions xshould xthe
xnurse x
x
take
xnext?
x
Activate xthe xemergency xfire xalarm. x
Extinguish xthe xfire. x
Evacuate xthe xclient. x
Confine xthe xfire. x- xCorrect xAnswer: x
Evacuate xthe xclient. x
According xto xthe xRACE xmnemonic, xthe xfirst xaction xin xresponse xto xa xfire xis xto xrescue
xthe xclients, xmoving xthem xto xa xsafe xarea. x
x
Incorrect xAnswers: x
Activate xthe xemergency xfire xalarm. x
According xto xthe xRACE xmnemonic, xthe xsecond xaction xin xresponse xto xa xfire xis xto
xactivate xthe xalarm. x
x
Extinguish xthe xfire. x
According xto xthe xRACE xmnemonic, xthe xfourth xaction xin xresponse xto xa xfire xis xto
xattempt xto xextinguish xthe xfire. x
x
Confine xthe xfire. x
According xto xthe xRACE xmnemonic, xthe xthird xaction xin xresponse xto xa xfire xis xto
xcontain xthe xfire xby xclosing xall xthe xdoors xand xwindows xin xthe xarea. xThe xnurse
xshould xalso xturn xoff xoxygen xand xelectrical xequipment xin xthe xarea xof xthe xfire. x
