ATI NUR 250 Summer 1 2025 Midpoint Assessment
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Free ATI NUR 250 Summer 1 2025 Midpoint Assessment Questions
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?
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Genetics
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Sunbathing
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Smoking
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Unhealthy diet
Explanation
Correct Answer: A. Genetics
Explanation:
Genetics is a non-modifiable risk factor because it cannot be changed or controlled through behavior or lifestyle modifications. A person’s genetic makeup influences susceptibility to certain diseases such as diabetes, hypertension, and some cancers. In contrast, behaviors like smoking, poor diet, and excessive sun exposure are modifiable risk factors—they can be altered to reduce disease risk. Identifying non-modifiable factors helps the nurse focus on prevention and management through modifiable lifestyle changes.
A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?
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Occupational therapist
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Respiratory therapist
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Social worker
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Registered dietitian
Explanation
Correct Answer: B. Respiratory therapist
Explanation:
A respiratory therapist specializes in airway management and will assist with the care and maintenance of a tracheostomy. This includes suctioning, changing inner cannulas, managing oxygen delivery systems, and providing education on tracheostomy care. Collaboration with a respiratory therapist ensures proper airway clearance, optimal oxygenation, and prevention of complications such as obstruction or infection, making them the appropriate referral for tracheostomy management.
Which of the following instructions should the nurse include when teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management
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Limit fluid intake during meal time.
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Notify the provider if blood glucose levels are over 350 milligrams/deciliter.
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Withhold insulin dose if feeling nauseous.
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Test the urine for ketones
Explanation
Correct Answer D: Test the urine for ketones.
Explanation:
During illness, children with type 1 diabetes are at risk for diabetic ketoacidosis (DKA), especially when blood glucose is elevated or when insulin is reduced. Urine ketone testing helps identify the early presence of ketones, signaling the need for medical intervention. The nurse should teach that ketone testing is essential when the child is sick, has a fever, or has blood glucose levels consistently over 240 mg/dL.
Why the Other Options Are Incorrect:
A. Limit fluid intake during meal time.
This is incorrect. During illness, maintaining adequate hydration is crucial to help manage blood glucose levels and prevent dehydration. Fluid intake should be encouraged, not limited.
B. Notify the provider if blood glucose levels are over 350 milligrams/deciliter.
While elevated glucose levels are concerning, the standard threshold for contacting the provider is typically persistent levels over 240 mg/dL with ketones present or symptoms of DKA. Waiting until levels are over 350 mg/dL could delay important care.
C. Withhold insulin dose if feeling nauseous.
This is incorrect and potentially dangerous. Even during illness or nausea, insulin should not be withheld, as the body still needs insulin to process glucose and prevent ketone production. Skipping insulin increases the risk of DKA.
A nurse is assessing a client who has iron deficiency. Which of the following findings should the nurse expect?
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Tooth decay
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Goiter
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Fatigue
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Tetany
Explanation
Correct Answer: C. Fatigue
Explanation:
Fatigue is a classic sign of iron deficiency because low iron levels result in decreased hemoglobin production, leading to reduced oxygen delivery to tissues. This causes the client to feel weak and tired even with minimal activity. Other symptoms may include pallor, shortness of breath, and dizziness. Addressing iron deficiency through diet or supplements is essential to restore oxygen-carrying capacity and relieve symptoms.
Which of the following information should the nurse include when teaching a class about reducing the risk of medication errors
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Prepare medications for multiple clients at the same time.
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Remove medications from automatic dispensing systems before they are reviewed by pharmacists.
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Wait to document medications given to clients until the end of a shift.
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Provide the nurse administering medications with an identifying vest.
Explanation
Correct Answer D: Provide the nurse administering medications with an identifying vest.
Explanation:
Providing the nurse with an identifying vest while administering medications helps minimize distractions and interruptions during the medication administration process. This promotes safety and concentration, reducing the likelihood of medication errors. It serves as a visual cue to others that the nurse should not be disturbed, which aligns with best practices for safe medication administration.
Why the Other Options Are Incorrect:
A. Prepare medications for multiple clients at the same time
This increases the risk of mix-ups and errors. Nurses should prepare medications for one client at a time to ensure correct administration.
B. Remove medications from automatic dispensing systems before they are reviewed by pharmacists
Medications should be reviewed by a pharmacist before removal to ensure accuracy, safety, and appropriateness. Skipping this review step increases the risk of potentially harmful errors.
C. Wait to document medications given to clients until the end of a shift
Documentation should be done immediately after administration to ensure accuracy and up-to-date records. Delaying documentation increases the risk of forgetting details or making mistakes.
Which of the following findings should the nurse expect in a client who has iron deficiency
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Tooth decay
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Goiter
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Fatigue
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Tetan
Explanation
Correct Answer C: Fatigue
Explanation:
Fatigue is a common and expected finding in clients with iron deficiency, particularly when it leads to iron deficiency anemia. Iron is essential for the production of hemoglobin, which transports oxygen in the blood. Low iron levels reduce oxygen delivery to tissues, resulting in fatigue, weakness, pallor, and decreased exercise tolerance.
Why the Other Options Are Incorrect:
A. Tooth decay
Tooth decay is more commonly associated with poor oral hygiene or high sugar intake, not iron deficiency.
B. Goiter
Goiter is an enlargement of the thyroid gland typically caused by iodine deficiency, not iron deficiency.
D. Tetany
Tetany is caused by hypocalcemia (low calcium levels), not low iron, and is characterized by muscle cramps, spasms, and tingling.
A nurse manager at a public health clinic is working to expand diversity of the clinic's nursing staff. The manager knows that which of the following factors is a barrier to creating a diverse workforce?
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Male nurses are less than 10% of the national workforce.
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Nurses of color are 8% of the national workforce.
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Distrust of the health care system.
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Decrease in diverse populations.
Explanation
Correct Answer: C. Distrust of the health care system.
Explanation:
Distrust of the health care system is a major barrier to building a diverse nursing workforce. Historical injustices, discrimination, and unequal treatment have contributed to skepticism among underrepresented groups, discouraging them from pursuing health care careers. Addressing this distrust through inclusive recruitment, mentorship programs, and community engagement helps promote diversity. While representation statistics highlight existing disparities, distrust is the underlying factor that limits participation and retention of diverse individuals in nursing.
Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy
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Occupational therapist
-
Respiratory therapist
-
Social worker
-
Registered dietitian
Explanation
Correct Answer B: Respiratory therapist
Explanation:
A respiratory therapist is the appropriate interprofessional team member to manage a client’s tracheostomy. They are trained to provide care related to airway management, including suctioning, oxygen therapy, ventilator settings, and tracheostomy care. The provider will typically prescribe a referral to a respiratory therapist to ensure the client’s airway is properly maintained.
Why the Other Options Are Incorrect:
A. Occupational therapist
Occupational therapists help clients regain skills for daily living and may assist in adapting techniques for self-care but are not responsible for managing tracheostomies.
C. Social worker
Social workers provide psychosocial support, counseling, and resource coordination but are not involved in the clinical management of a tracheostomy.
D. Registered dietitian
Dietitians assist with nutritional assessments and dietary planning, especially if swallowing is impaired, but they do not manage tracheostomies.
Which of the following laboratory values is the priority for the nurse to report to the provider
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Sodium 135 mEq/L
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BUN 9.5 mg/dL
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Potassium level 3 mEq/L
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Creatinine 0.4 mg/dL
Explanation
Correct Answer C: Potassium level 3 mEq/L
Explanation:
A potassium level of 3 mEq/L indicates hypokalemia, which can be a critical finding. Potassium plays a key role in cardiac conduction, muscle contraction, and nerve function. Hypokalemia can lead to life-threatening arrhythmias, muscle weakness, and respiratory compromise. Prompt reporting and treatment are essential to prevent complications, especially in clients with cardiac conditions or those taking diuretics.
Why the Other Options Are Incorrect:
A. Sodium 135 mEq/L
This value is at the lower limit of normal (normal range: 135–145 mEq/L). While it should be monitored, it is not immediately dangerous and does not require urgent reporting.
B. BUN 9.5 mg/dL
This is a normal blood urea nitrogen (BUN) level (normal range: 7–20 mg/dL), indicating normal kidney function and protein metabolism.
D. Creatinine 0.4 mg/dL
Although slightly low, this creatinine level is not critical and usually does not indicate a serious issue. It may be seen in individuals with low muscle mass and is not an urgent value to report compared to low potassium.
Which of the following findings should the nurse identify as a non-modifiable risk factor for disease
-
Genetics
-
Sunbathing
-
Smoking
-
Unhealthy diet
Explanation
Correct Answer A: Genetics
Explanation:
Genetics is a non-modifiable risk factor because it cannot be changed or influenced by behavior or lifestyle. A person’s inherited genetic makeup can predispose them to certain diseases, such as diabetes, heart disease, or certain cancers. While the effects of genetic risk can sometimes be managed, the genetic trait itself cannot be modified.
Why the Other Options Are Incorrect:
B. Sunbathing
Sunbathing is a modifiable behavior. Individuals can reduce their risk for skin cancer and other sun-related conditions by using sunscreen, wearing protective clothing, and avoiding peak sun exposure.
C. Smoking
Smoking is a major modifiable risk factor for numerous diseases, including lung cancer, heart disease, and stroke. Quitting smoking reduces health risks significantly.
D. Unhealthy diet
An unhealthy diet is a modifiable risk factor. People can make dietary changes to improve their health and reduce the risk of conditions such as obesity, hypertension, and type 2 diabetes.
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