ATI NUR125 Exam ASN

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Ace Your Test with ATI NUR125 Exam ASN Actual Questions and Solutions - Full Set

Free ATI NUR125 Exam ASN Questions

1. A nurse is preparing to administer 0.9% sodium chloride 1,000 mL intravenously (IV) to infuse over 6 hours. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Explanation

Explanation
Correct Answer: 167 mL/hr
To calculate the IV flow rate, divide the total volume by the total time:
1,000 mL ÷ 6 hours = 166.6 mL/hr
Rounded to the nearest whole number = 167 mL/hr
No leading zero is needed as the answer is greater than one, and no trailing zero is used per the instructions.
2.

58-year-old client was transferred to short-term rehabilitation after sustaining a stroke 10 days ago. Upon initial assessment, the client struggles to name presented objects that include a toothbrush, comb, and toothpaste tube. When asked if the client understands where they are, the client nods their head in response, but cannot verbally express an answer to the question. The client demonstrates frustration and is tearful. The client's spouse is at the bedside providing encouragement and emotional comfort during the assessment.

Vital Signs

  • Temperature (T): 37.1° C (98.7° F)
  • Blood pressure (BP): 152/78 mm Hg
  • Heart rate (HR): 90/min
  • Respiratory rate (RR): 16/min
  • SpO2: 99% on room air

A nurse is providing care for a client who has aphasia. Which of the following are appropriate nursing interventions for the client? Select all that apply.

  • Avoid use of facial gestures to communicate.

  • Assess for alternate communication methods and whether they cause anxiety for the client.

  • Assess the client's ability to write before offering a notepad and pen to communicate with the nurse.

  • Ask the client's spouse to leave the room to prevent distraction of the client during the assessment.

  • Inform the client that they should know what a toothbrush is.

Explanation

Explanation

Correct Answers: B) Assess for alternate communication methods and whether they cause anxiety for the client, and C) Assess the client's ability to write before offering a notepad and pen to communicate with the nurse.

For a client with aphasia following a stroke, the nurse must explore and establish alternative communication methods to facilitate effective interaction. Assessing whether those methods cause anxiety is important because forcing a frustrated, tearful client into an uncomfortable communication mode can worsen emotional distress. Additionally, assessing the client's writing ability before providing a notepad is appropriate — stroke may also impair motor writing skills, so the nurse must evaluate feasibility before offering this tool.

Option A is incorrect because facial gestures, expressions, and non-verbal cues are actually helpful and encouraged when communicating with aphasic clients. Option D is incorrect because the spouse is providing emotional support and comfort; removing them would increase the client's anxiety and distress rather than help. Option E is incorrect and inappropriate — it is condescending and dismissive of the neurological deficit the client is experiencing; aphasia is a communication disorder caused by brain damage, not a knowledge deficit.

  1. A nurse is caring for a client who is in the final stages of life. The family member has expressed concerns related to the client's condition. What is the nurse's best response?

A) "Maybe you'd like to take a break in the family gathering room?"

B) "Do you think they can pull through this?"

C) "Why are you feeling this way?"

D) "What I am hearing is that you are not ready for your loved one to give up."

Explanation

Correct Answer: D) "What I am hearing is that you are not ready for your loved one to give up."

This response uses the therapeutic communication technique of paraphrasing/reflecting, which demonstrates active listening and validates the family member's emotions without judgment. It acknowledges the family's grief and fear while opening the door for further therapeutic dialogue, which is essential when supporting families during end-of-life care.

Option A redirects the family member away from their emotional expression, which is non-therapeutic and dismissive. Option B is inappropriate as it offers false hope and does not address the family member's emotional concerns. Option C beginning with "why" can feel accusatory or confrontational, putting the family member on the defensive rather than encouraging open communication.

  1. A nurse is admitting a client to the medical-surgical unit and provides a clipboard with intake paperwork. After several minutes, the nurse observes that the client is holding the pen but has not begun writing and appears hesitant. Which of the following is the most appropriate action by the nurse?

A) Say, "Take your time, and let me know when you're ready to begin."

B) Sit with the client and say, "Just fill out what you can, and I'll take care of the rest."

C) Ask the client, "Would you like some help with the paperwork?"

D) Make eye contact with the client and say, "I will read these documents for you."

Explanation

Correct Answer: C) Ask the client, "Would you like some help with the paperwork?"

The client's hesitancy may indicate a literacy concern, anxiety, visual impairment, or another barrier. Directly and respectfully asking if the client would like help is the most therapeutic and patient-centered approach — it opens communication, preserves the client's dignity, and allows the nurse to identify the underlying barrier without making assumptions.

Option A leaves the client struggling alone without addressing the issue. Option B is somewhat helpful but makes assumptions about what the client can or cannot do. Option D assumes the client cannot read and may embarrass or offend the client if literacy is not the issue — it skips the assessment step entirely.

  1. A client with a terminal illness has returned home to receive hospice care. The client reports increased fatigue and a severe decrease in energy over the past week. Which of the following interventions would best support decreasing the client's energy requirement to provide relief from fatigue?

A) Encourage the client to schedule rest periods throughout the day.

B) Increase the room temperature to make the client feel more comfortable.

C) Limit physical therapy sessions to avoid worsening the client's fatigue.

D) Increase the amount of activity for the patient to improve strength and tolerance.

Explanation

Correct Answer: A) Encourage the client to schedule rest periods throughout the day.

For a hospice client experiencing severe fatigue and decreased energy, energy conservation is the priority. Scheduling planned rest periods throughout the day allows the client to balance activity with recovery, reduces overall energy expenditure, and directly addresses fatigue — which is one of the most common and distressing symptoms in terminal illness.

Option B increasing room temperature has no evidence-based connection to reducing fatigue or energy requirements. Option C while limiting physical therapy may seem reasonable, it is not the most direct or comprehensive intervention for managing fatigue. Option D increasing activity is contraindicated in a client with severe fatigue in end-of-life care, as it would worsen exhaustion rather than relieve it.

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