ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client is admitted with a suspected opioid overdose and a respiratory rate of 6 breaths per minute. Which of the following data would the nurse anticipate? (SELECT ALL THAT APPLY)
Correct Answer: A,B
Rationale: "Opioid overdose causes hypoventilation leading to respiratory acidosis (low pH 7.29 high PaCO2 54). High pH (7.51) or low PaCO2 (31) suggest alkalosis and normal PaO2 (72) is not typically affected." Opioid overdose causes hypoventilation leading to respiratory acidosis (low pH 7.29 high PaCO2 54). High pH (7.51) or low PaCO2 (31) suggest alkalosis and normal PaO2 (72) is not typically affected.
Question 2 of 5
The nurse is caring for a client receiving an intravenous medication that is a vesicant. The IV flow has stopped and there is pain,burning and swelling at the IV site. What action should the nurse take first?
Correct Answer: B
Rationale: For a vesicant medication causing pain burning and swelling (indicating extravasation) the first action is to immediately remove the catheter to prevent further tissue damage. Elevation keeping the catheter or applying a compress are secondary steps after stopping the infusion.
Question 3 of 5
A nurse discovers that the physician has prescribed a higher than recommended dose of a medication for a client. Which is the most appropriate action for the nurse to take?
Correct Answer: D
Rationale: Calling the prescribing physician to clarify a higher-than-recommended dose is the most appropriate action to ensure patient safety and resolve potential errors. Administering a different dose holding without clarification or contacting the pharmacy first bypasses direct communication with the prescriber.
Question 4 of 5
The nurse recognizes that the appropriate rationale for using an IV infusion pump for a client is to:
Correct Answer: B
Rationale: An IV infusion pump prevents accidental delivery of large fluid volumes by precisely controlling the infusion rate and volume enhancing safety. It does not eliminate the need for site assessments adjust based on client position or inherently deliver fluids rapidly.
Question 5 of 5
The nurse is assessing a client who has been experiencing prolonged stress. For which most serious complication should the nurse monitor the client?
Correct Answer: D
Rationale: Prolonged stress can impair immunity increasing susceptibility to infections and diseases a serious complication. Muscle tension sleep issues and increased peristalsis are less severe though significant.