ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client develops pressure injuries because turning and positioning were not done as ordered. The nurse is aware that this is an example of which type of liability?
Correct Answer: B
Rationale: Failing to turn and position as ordered leading to pressure injuries is negligence—failure to meet the standard of care. Battery involves intentional harm assault involves threats and felony is a criminal offense.
Question 2 of 5
The nurse suspects that a client's intravenous solution has infiltrated. What action should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion immediately is the first action for suspected infiltration to prevent further fluid leakage into tissues which could cause damage. Documentation flushing or catheter removal follow after stopping the infusion.
Question 3 of 5
The following arterial blood gas results would demonstrate to the nurse that the client is experiencing which acid-base imbalance? pH 7.31 PaCO2 40,HCO3 18 pa02 92
Correct Answer: D
Rationale: A pH of 7.31 (low) and HCO3 of 18 (low) indicate metabolic acidosis as the primary issue is a decrease in bicarbonate. Normal PaCO2 (40) rules out respiratory issues and high pH or high HCO3 would indicate alkalosis.
Question 4 of 5
It is a busy day on the medical-surgical floor,and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?
Correct Answer: A
Rationale: Teaching about medications as they are given integrates education into routine care saving time while ensuring immediate relevance. Bath discussions are distracting post-discharge calls delay teaching and written instructions alone may not ensure understanding.
Question 5 of 5
Which strategy Increases the probability that the client will achieve the knowledge of the essential information that the nurse is teaching?
Correct Answer: C
Rationale: Emphasizing essential information first ensures the client grasps key concepts reducing overload. Cold temperatures anxiety delays or music may distract or hinder learning.