ATI RN Fundamentals Online Practice A.pdf file:///C:/Users/HP/Desktop/eewwww/ATI%20RN%20Fundamenta
ATI RN Fundamentals Online Practice 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 rateDecrease 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 heartrate should
return to the expected range.
In Correct Answers:
Increase in hematocrit:
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,ATI RN Fundamentals Online Practice A.pdf file:///C:/Users/HP/Desktop/eewwww/ATI%20RN%20Fundamenta
Fluid volume deficit causes an increase in hematocrit level due to depletion of extracellular fluid.
With correction of the imbalance, the hematocrit level shoulddecrease.
increase in respiratory rate
Fluid volume deficit causes an increase in respiratory rate. With correction of theimbalance, 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, capillaryrefill 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 rea-sons for the
transfer. Which of the following responses made by the nurse isappropriate?
"The transfer of your family member is being done because the providerknows
what's best."
"Would you like it if we discussed the transfer with your family member?""Why are
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you so concerned about this transfer?"
"I know how you feel. My parent had to be transferred to a long-term carefacility.":
Correct Answer:
"Would you like it if we discussed the transfer with your family member?"
This response facilitates therapeutic communication and provides general leadswhile
maintaining client confidentiality.
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InCorrect Answers:
"The transfer of your family member is being done because the provider knowswhat'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.
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 forthe nurse report to the
provider?
BUN 21 mg/dL (10 to 20 mg/dL)
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