ATI RN
ATI RN Custom Exams Set 4
1. The nurse cares for a client receiving furosemide (Lasix). The nurse determines that teaching is effective if the client selects which of the following foods?
- A. One medium baked potato
- B. One slice of white bread
- C. One medium apple
- D. One scrambled egg
Correct answer: A
Rationale: The correct answer is A: One medium baked potato. Potatoes are high in potassium, which is essential for clients on Lasix to prevent hypokalemia. Furosemide is a loop diuretic that can cause potassium depletion, so consuming potassium-rich foods like baked potatoes can help maintain normal potassium levels. Choices B, C, and D do not provide a significant source of potassium, which is crucial for clients on furosemide therapy.
2. Which term describes the absence of regular health check-ups?
- A. Health deficit
- B. Health threats
- C. Health problem
- D. Foreseeable crisis
Correct answer: A
Rationale: A health deficit refers to the lack or absence of something essential for maintaining good health, in this case, regular health check-ups. Not undergoing regular health check-ups can lead to undiagnosed health issues and prevent timely interventions, resulting in a health deficit.
3. When caring for a patient with a burn injury, what is the priority intervention?
- A. Monitor the burn area for infection
- B. Administer IV fluids
- C. Debride the burn area
- D. Apply a dry dressing
Correct answer: A
Rationale: The priority intervention when caring for a patient with a burn injury is to monitor the burn area for infection. This is crucial to prevent further complications such as sepsis. While administering IV fluids is important for fluid resuscitation, it is not the top priority compared to preventing infection. Debriding the burn area and applying a dry dressing are necessary interventions for wound care, but ensuring there is no infection takes precedence to avoid sepsis and other serious complications.
4. While reviewing notes from a previous shift, a nurse finds incomplete documentation. What is the most appropriate action?
- A. Complete the missing documentation
- B. Notify the nurse manager of the issue
- C. Ask the nurse to complete the documentation
- D. Confront the nurse about the incomplete notes
Correct answer: B
Rationale: The most appropriate action when finding incomplete documentation is to notify the nurse manager of the issue. This ensures that accurate records are maintained and the situation can be addressed properly. Completing the missing documentation on behalf of someone else may lead to inaccuracies, asking the nurse to complete it may not guarantee timely correction, and confronting the nurse could create a confrontational situation that is not conducive to effective teamwork.
5. A nurse in the medical-surgical unit has a newly admitted patient who is oliguric; the acute care nurse practitioner orders a fluid challenge of 100 to 200 mL of normal saline solution over 15 minutes. The nurse is aware this intervention will help:
- A. Distinguish hyponatremia from hypernatremia
- B. Evaluate pituitary gland function
- C. Distinguish reduced renal blood flow from decreased renal function
- D. Provide an effective treatment for hypertension-induced oliguria
Correct answer: C
Rationale: Administering a fluid challenge in oliguric patients helps to distinguish reduced renal blood flow from decreased renal function. This intervention aids in determining whether the oliguria is due to reduced renal blood flow (such as in fluid volume deficit or prerenal azotemia) or decreased renal function (such as in acute tubular necrosis). The response to this challenge can indicate the underlying cause. Choices A, B, and D are incorrect as they do not align with the purpose of a fluid challenge in oliguric patients.