ATI Fundamentals Test Exam 5 2024 WITH 100% CORRECT ANSWERS

ATI Fundamentals Test Exam 5 2024 WITH 100%
CORRECT ANSWERS

AInurseIisIadministeringI1ILIofI0.9%IsodiumIchlorideItoIaIclientIwhoIisIpostoperativeIandIhasIflui
dIvolumeIdeficit.IWhichIofItheIfollowingIchangesIshouldItheInurseIidentifyIasIanIindicationIthatIt
heItreatmentIwasIsuccessful?

IncreaseIinIhematocritIincreas
eIinIrespiratoryIrateIDecreaseIi
nIheartIrate
DecreaseIinIcapillaryIrefillItimeI-ICorrectIAnswer:
DecreaseIinIheartIrate
FluidIvolumeIdeficitIcausesItachycardia.IWithIcorrectionIofItheIimbalance,ItheIheartIrateIshouldIr
eturnItoItheIexpectedIrange.

IncorrectIAnswers:
IncreaseIinIhematocrit:
FluidIvolumeIdeficitIcausesIanIincreaseIinIhematocritIlevelIdueItoIdepletionIofIextracellularIfluid.
IWithIcorrectionIofItheIimbalance,ItheIhematocritIlevelIshouldIdecrease.



increaseIinIrespiratoryIrate
FluidIvolumeIdeficitIcausesIanIincreaseIinIrespiratoryIrate.IWithIcorrectionIofItheIimbalance,ItheI
respiratoryIrateIshouldIreturnItoItheIexpectedIrange.

DecreaseIinIcapillaryIrefillItime
FluidIvolumeIdeficitIslowsIcapillaryIrefill.IWithIcorrectionIofItheIimbalance,IcapillaryIrefillItimeI
shouldIreturnItoItheIexpectedIrange.

AInurseIisIcaringIforIaIclientIwhoIisIscheduledItoIbeItransferredItoIaIlong-
termIcareIfacility.ITheIclient'sIfamilyIquestionsItheInurseIaboutItheIreasonsIforItheItransfer.IWhic
hIofItheIfollowingIresponsesImadeIbyItheInurseIisIappropriate?

"TheItransferIofIyourIfamilyImemberIisIbeingIdoneIbecauseItheIproviderIknowsIwhat'sIbest."I"W
ouldIyouIlikeIitIifIweIdiscussedItheItransferIwithIyourIfamilyImember?"
"WhyIareIyouIsoIconcernedIaboutIthisItransfer?"
"IIknowIhowIyouIfeel.IMyIparentIhadItoIbeItransferredItoIaIlong-termIcareIfacility."I-
ICorrectIAnswer:

"WouldIyouIlikeIitIifIweIdiscussedItheItransferIwithIyourIfamilyImember?"
ThisIresponseIfacilitatesItherapeuticIcommunicationIandIprovidesIgeneralIleadsIwhileImaintaini
ngIclientIconfidentiality.

IncorrectIAnswers:
"TheItransferIofIyourIfamilyImemberIisIbeingIdoneIbecauseItheIproviderIknowsIwhat'sIbest."IThi
sIisIaIdefensiveIresponseIwhichIcanIhinderIfurtherIcommunication.

"WhyIareIyouIsoIconcernedIaboutIthisItransfer?"
AskingIaIwhyIquestionIcanImakeItheIrecipientIdefensiveIwhichIcanIhinderIfurtherIcommunicatio
n.

"IIknowIhowIyouIfeel.IMyIparentIhadItoIbeItransferredItoIaIlong-termIcareIfacility."

,ThisIisIaIsympatheticIresponse,IwhichIcanIinterfereIwithIaItherapeuticIrelationship.

AInurseIisIreviewingItheIlaboratoryIresultsIofIaIfemaleIclientIwhoIhasIhypovolemia.IWhichIofItheI
followingIlaboratoryIresultIwouldIbeIaIpriorityIforItheInurseIreportItoItheIprovider?

BUNI21Img/dLI(10ItoI20Img/dL)
CreatinineI1.4Img/dLI(0.5ItoI1.1Img/dL)
SodiumI132ImEq/LI(136ItoI145ImEq/L)
PotassiumI5.8ImEq/LI(3.5ItoI5ImEq/L)I-ICorrectIAnswer:
PotassiumI5.8ImEq/LI(3.5ItoI5ImEq/L)
WhenIusingItheIurgentIversusInonurgentIapproachItoIclientIcare,ItheInurseIshouldIdetermineIthatIt
hisIpotassiumIlevelIisIaboveItheIexpectedIreferenceIrangeIandIshouldIbeIreportedItoItheIprovider.I
PotassiumIaffectsItheIcontractilityIofItheIheartIandIthisIclientIwouldIbeIatIriskIforIdevelopingIdysr
hythmias.

IncorrectIanswers:
BUNI21Img/dLI(10ItoI20Img/dL)
ThisIBUNIlevelIisIslightlyIaboveItheIexpectedIreferenceIrangeIandIisIanIexpectedInon-
urgentIfindingIforIaIclientIwhoIhasIhypovolemia;Itherefore,IthereIisIanotherIlaboratoryIresultIthatI
isIaIpriorityIforItheInurseItoIreportItoItheIprovider.

CreatinineI1.4Img/dLI(0.5ItoI1.1Img/dL)
ThisIcreatinineIlevelIisIslightlyIaboveItheIexpectedIreferenceIrangeIandIisIanIexpectedInon-
IurgentIfindingIforIaIclientIwhoIhasIhypovolemia;Itherefore,IthereIisIanotherIlaboratoryIresultIthatI

isIaIaIpriorityIforItheInurseItoIreportItoItheIprovider.

SodiumI132ImEq/LI(136ItoI145ImEq/L)
ThisIsodiumIlevelIisIslightlyIbelowItheIexpectedIreferenceIrangeIandIisIanIexpectedInon-
IurgentIfindingIforIaIclientIwhoIhasIhypovolemia;Itherefore,IthereIisIanotherIlaboratoryIresultIthatI

isIaIpriorityIforItheInurseItoIreportItoItheIprovider.

AInurseIisIcaringIforIaIclientIwhoIreportsIdifficultyIfallingIasleep.IWhichIofItheIfollowingIrecom
mendationsIshouldItheInurseImake?

"DrinkIaIcupIofIhotIcocoaIbeforeIbedtime."I"MaintainI
aIconsistentItimeItoIwakeIupIeachIday."I"ExerciseI1Iho
urIbeforeIgoingItoIbed."
"WatchIaItelevisionIprogramIinIbedIbeforeIgoingItoIsleep."I-
ICorrectIAnswer:I"MaintainIaIconsistentItimeItoIwakeIupIeachIday."

TheIclientIshouldImaintainIaIconsistentItimeIforIwakingIupIandIgoingItoIsleep.IThisIhelpsItoIest
ablishIanIinternalIsenseIofIsleepIandIwakingIonIaIdailyIbasisIandIhelpsItoImaintainIitIoverItime.I
ThisIwillIhelpIpromoteIsleepIforItheIclient.

IncorrectIAnswers:
"DrinkIaIcupIofIhotIcocoaIbeforeIbedtime."
CocoaIcontainsIcaffeine,IwhichIisIaIstimulantIthatIcanIinterfereIwithIsleep.

"ExerciseI1IhourIbeforeIgoingItoIbed."
ExercisingIwithinI2IhrIofIbedtimeIcanIinterfereIwithIsleep.

,"WatchIaItelevisionIprogramIinIbedIbeforeIgoingItoIsleep."
TheIclientIshouldIavoidIwatchingItelevisionIinIbedIbeforeIgoingItoIsleepItoIreduceIstimulationIinI
orderItoIpromoteIrest.

AInurseIonIaImedical-
surgicalIunitIisIcaringIforIaIclientIwhoIhasIaInewIprescriptionIforIwristIrestraints.IWhichIofIfollow
ingIactionsIshouldItheInurseItake?

PadItheIclient'sIwristIbeforeIapplyingItheIrestraints.IEvaluateI
theIclient'sIcirculationIeveryI8IhrIafterIapplication.
RemoveItheIrestraintsIeveryI4IhrItoIevaluateItheIclient'sIstatus.ISecur
eItheIrestraintItiesItoItheIbed'sIsideIrails.I-
ICorrectIAnswer:IPadItheIclient'sIwristIbeforeIapplyingItheIrestraints.

TheIuseIofIrestraintsIwithoutIpaddingIcanIabradeItheIclient'sIskin,IresultingIinIclientIinjury.

IncorrectIAnswers:
EvaluateItheIclient'sIcirculationIeveryI8IhrIafterIapplication.
TheInurseIshouldIevaluateItheIclient'sIcirculation,IrangeIofImotion,IvitalIsigns,IandIoverallIstatusI
everyI15IminIafterIinitialIapplicationIofIrestraints.

RemoveItheIrestraintsIeveryI4IhrItoIevaluateItheIclient'sIstatus.
TheInurseIshouldIremoveItheIrestraintsIatIleastIeveryI2IhrItoIrepositionItheIclientIandIassessIneedsI
forIhygieneIandItoileting.

SecureItheIrestraintItiesItoItheIbed'sIsideIrails.
TheInurseIshouldIsecureItheIrestraintItiesItoIaIpartIofItheIbedIframeIthatImovesIwithItheIclientItoIre
duceItheIriskIofIinjury.

AIclientIwhoIisInonambulatoryInotifiesItheInurseIthatItheirItrashIcanIisIonIfire.IAfterItheInurseIcon
firmsItheIpresenceIofItheIfire,IwhichIofItheIfollowingIactionsIshouldItheInurseItakeInext?

ActivateItheIemergencyIfireIalarm.IExtinguish
ItheIfire.

EvacuateItheIclient.
ConfineItheIfire.I-ICorrectIAnswer:
EvacuateItheIclient.
AccordingItoItheIRACEImnemonic,ItheIfirstIactionIinIresponseItoIaIfireIisItoIrescueItheIcli
ents,ImovingIthemItoIaIsafeIarea.

IncorrectIAnswers:
ActivateItheIemergencyIfireIalarm.
AccordingItoItheIRACEImnemonic,ItheIsecondIactionIinIresponseItoIaIfireIisItoIactivateItheIalarm.

ExtinguishItheIfire.
AccordingItoItheIRACEImnemonic,ItheIfourthIactionIinIresponseItoIaIfireIisItoIattemptItoIextingui
shItheIfire.

ConfineItheIfire.

, AccordingItoItheIRACEImnemonic,ItheIthirdIactionIinIresponseItoIaIfireIisItoIcontainItheIfireIbyIcl
osingIallItheIdoorsIandIwindowsIinItheIarea.ITheInurseIshouldIalsoIturnIoffIoxygenIandIelectricalI
equipmentIinItheIareaIofItheIfire.

AInurseIisIpreparingItoIadministerI0.9%IsodiumIchlorideI750ImLIIVItoIinfuseIoverI7Ihr.ITheInurs
eIshouldIsetItheIinfusionIpumpItoIdeliverIhowImanyImL/hr?I-I107ImL/hr

AInurseIisIassessingIfourIadultIclients.IWhichIofItheIfollowingIphysicalIassessmentItechni
quesIshouldItheInurseIuse?

UseItheIFace,ILegs,IActivity,ICry,IandIConsolabilityI(FLACC)IpainIratingIscaleIforIaIclientIwhoIi
sIexperiencingIpain.
EnsureItheIbladderIofItheIbloodIpressureIcuffIsurroundsI80%IofItheIclient'sIarm.
ObtainIanIapicalIheartIrateIbyIauscultatingIatItheIthirdIintercostalIspaceIleftIofItheIsternum.IPalpat
eItheIclient'sIabdomenIbeforeIauscultatingIbowelIsounds.I-ICorrectIAnswer:
EnsureItheIbladderIofItheIbloodIpressureIcuffIsurroundsI80%IofItheIclient'sIarm.
TheInurseIshouldIuseIaIbloodIpressureIcuffIwithIaIbladderIthatIsurroundsI80%IofItheIclient'sIarmIc
ircumferenceItoIgiveIanIaccurateIreading.

IncorrectIAnswers:
UseItheIFace,ILegs,IActivity,ICry,IandIConsolabilityI(FLACC)IpainIratingIscaleIforIaIclientIwhoIi
sIexperiencingIpain.
TheInurseIshouldIuseIanIage-appropriateIpain-
ratingIscale,IsuchIasItheIvisualIanalogIorInumericalIscale,IwhenIassessingItheIpainIlevelIofIanIadu
lt.ITheIFLACCIpainIratingIscaleIisIusedIforIclientsIagedIfromI2ImonthsItoI7IyearsIold.

ObtainIanIapicalIheartIrateIbyIauscultatingIatItheIthirdIintercostalIspaceIleftIofItheIsternum.ITheIn
urseIshouldIplaceItheIstethoscopeIatItheIpointIofImaximalIimpulse,IwhichIisIatItheIfifthIintercostal
IspaceIatItheImidclavicularIlineIleftIofItheIsternum.



PalpateItheIclient'sIabdomenIbeforeIauscultatingIbowelIsounds.
WhenIassessingIanIadultIclient'sIabdomen,ItheInurseIshouldIauscultateIbowelIsoundsIbeforeIperf
ormingIpalpationIinIorderInotItoIchangeItheIcharacterIofItheIsounds.

AInurseIisIcaringIforIaIclientIwhoIhasIaIterminalIdiagnosisIandIwhoseIhealthIisIdeclining.ITheIcli
entIrequestsIinformationIaboutIadvanceIdirectives.IWhichIofItheIfollowingIresponsesIshouldIthe
InurseImake?



"WeIcanItalkIaboutIadvanceIdirectives,IandIIIcanIalsoIgiveIyouIsomeIbrochuresIaboutIthem."I"Yo
uIshouldIsetIupIaItimeItoItalkIwithIyourIproviderIaboutIthat."
"Let'sIdiscussIhowIyouIareIfeelingItoday,IandIwe'llIsaveItheIplanningIforIwhenIyouIareIfeelingIaIli
ttleIbetter."
"WhyIdoIyouIwantItoIdiscussIthisIwithoutIyourIpartnerIhereItoIplanIthisIwithIyou?"I-
ICorrectIAnswer:

"WeIcanItalkIaboutIadvanceIdirectives,IandIIIcanIalsoIgiveIyouIsomeIbrochuresIaboutIthem."IWit
hIthisIstatement,ItheInurseIoffersItoIprovideItheIinformationItheIclientIneedsIinIaIdirectIandIsimpl
eIway.

IncorrectIAnswers:
"YouIshouldIsetIupIaItimeItoItalkIwithIyourIproviderIaboutIthat."