ATI RN Fundamentals Online Practice
2023 A Questions with Answers
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 answers: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.
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
answers: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."
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 answers: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)
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 answers: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.
"Exercise 1 hour before going to bed."
Exercising within 2 hr of bedtime can interfere with sleep.
"Watch a television program in bed before going to sleep."
The client should avoid watching television in bed before going to sleep to reduce stimulation in order to
promote rest.
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints.
Which of following actions should the nurse take?
Pad the client's wrist before applying the restraints.
Evaluate the client's circulation every 8 hr after application.
Remove the restraints every 4 hr to evaluate the client's status.
Secure the restraint ties to the bed's side rails. - correct answers:Correct Answer:
Pad the client's wrist before applying the restraints.
The use of restraints without padding can abrade the client's skin, resulting in client injury.
Incorrect Answers:
Evaluate the client's circulation every 8 hr after application.
The nurse should evaluate the client's circulation, range of motion, vital signs, and overall status every 15
min after initial application of restraints.
Remove the restraints every 4 hr to evaluate the client's status.
The nurse should remove the restraints at least every 2 hr to reposition the client and assess needs for
hygiene and toileting.
Secure the restraint ties to the bed's side rails.
2023 A Questions with Answers
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 answers: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.
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
answers: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."
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 answers: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)
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 answers: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.
"Exercise 1 hour before going to bed."
Exercising within 2 hr of bedtime can interfere with sleep.
"Watch a television program in bed before going to sleep."
The client should avoid watching television in bed before going to sleep to reduce stimulation in order to
promote rest.
A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints.
Which of following actions should the nurse take?
Pad the client's wrist before applying the restraints.
Evaluate the client's circulation every 8 hr after application.
Remove the restraints every 4 hr to evaluate the client's status.
Secure the restraint ties to the bed's side rails. - correct answers:Correct Answer:
Pad the client's wrist before applying the restraints.
The use of restraints without padding can abrade the client's skin, resulting in client injury.
Incorrect Answers:
Evaluate the client's circulation every 8 hr after application.
The nurse should evaluate the client's circulation, range of motion, vital signs, and overall status every 15
min after initial application of restraints.
Remove the restraints every 4 hr to evaluate the client's status.
The nurse should remove the restraints at least every 2 hr to reposition the client and assess needs for
hygiene and toileting.
Secure the restraint ties to the bed's side rails.
