1|Page
{NGN} ATI RN FUNDAMENTALS ONLINE
PRACTICE 2025 A EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES ALREADY A GRADED
|NEW AND REVISED
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 - ANSWER- 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.
,2|Page
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.
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." - ANSWER- 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.
,3|Page
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."
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) - ANSWER- Correct Answer:
Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
, 4|Page
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)
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?
{NGN} ATI RN FUNDAMENTALS ONLINE
PRACTICE 2025 A EXAM ALL QUESTIONS
AND CORRECT DETAILED ANSWERS
WITH RATIONALES ALREADY A GRADED
|NEW AND REVISED
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 - ANSWER- 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.
,2|Page
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.
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." - ANSWER- 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.
,3|Page
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."
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) - ANSWER- Correct Answer:
Potassium 5.8 mEq/L (3.5 to 5 mEq/L)
, 4|Page
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)
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?
