ATI RN
ATI Fundamentals Proctored Exam
1. A healthcare professional is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the healthcare professional expect?
- A. Increased creatinine.
- B. Increased hemoglobin.
- C. Increased bicarbonate.
- D. Increased calcium.
Correct answer: A
Rationale: In chronic kidney disease, the kidneys are unable to effectively filter waste products from the blood, leading to an accumulation of creatinine. Creatinine levels are commonly elevated in individuals with impaired kidney function, making it a key indicator of kidney health. Therefore, an increased creatinine level would be an expected finding in a client with chronic kidney disease.
2. Which natural body defense plays an active role in preventing infection?
- A. Yawning
- B. Body hair
- C. Hiccupping
- D. Rapid eye movements
Correct answer: B
Rationale: Body hair plays an active role in preventing infection by acting as a filter to block pathogens. It helps to prevent harmful substances from entering the body through the skin, providing a physical barrier against potential infections.
3. What is the primary purpose of a platelet count?
- A. Assessing clot formation potential
- B. Assessing bleeding risk
- C. Detecting antigen-antibody response
- D. Identifying cardiac enzymes presence
Correct answer: B
Rationale: A platelet count is primarily used to assess the risk of bleeding. Platelets play a crucial role in blood clotting, so a low platelet count can lead to an increased risk of bleeding. Monitoring platelet levels helps healthcare providers evaluate a patient's ability to form clots and manage bleeding.
4. When caring for a client on pressure support ventilation (PSV), which statement by the nurse indicates an understanding of PSV?
- A. It keeps the alveoli open and prevents atelectasis.
- B. It allows preset pressure delivered during spontaneous ventilation.
- C. It guarantees minimal minute ventilator.
- D. It delivers a preset ventilatory rate and tidal volume to the client.
Correct answer: B
Rationale: Pressure support ventilation (PSV) is a mode that delivers a preset pressure when the client initiates a breath. This support helps the client to breathe spontaneously by reducing the work of breathing. The correct statement indicating an understanding of PSV is that it allows preset pressure to be delivered during spontaneous ventilation, as it assists the client's efforts without controlling the rate or volume of each breath.
5. For a rectal examination, the patient can be directed to assume which of the following positions?
- A. Genupectoral
- B. Sims
- C. Horizontal recumbent
- D. All of the above
Correct answer: B
Rationale: The correct position for a rectal examination is the Sims position, where the patient lies on their left side with the upper knee flexed. This position allows for easy access and visualization of the rectal area for examination.
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