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2023 ATI RN Fundamentals Proctored Exam with NGN Questions and Answers (Verified Answers)
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2023 ATI RN Fundamentals Proctored Exam with NGN Questions and Answers (Verified Answers)
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ATI RN Fundamentals Online Practice 2023 AATI RN
Fundamentals
Online Practice
2023 A
, ATI RN Fundamentals Online Practice 2023 A
1. 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 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
, ATI RN Fundamentals Online Practice 2023 A
Fluid volume deficit slows capillary refill. With correction of the imbalance, capillary
refill time should return to the expected range.
2. 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 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.
, ATI RN Fundamentals Online Practice 2023 A
"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. 3. 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 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.
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