ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client is admitted with hypovolemia due to severe bleeding. Which Intravenous fluid does the nurse anticipate using to replace fluid losses?
Correct Answer: D
Rationale: 0.9% sodium chloride (normal saline) is isotonic and ideal for replacing volume in hypovolemia from bleeding. D51/4NS and D5W are not suitable for rapid volume replacement and 3% NaCl is hypertonic used for specific conditions.
Question 2 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 3 of 5
Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I
Correct Answer: D
Rationale: Drinking alcohol before bed disrupts sleep exacerbating insomnia indicating a need for education. Cool temperatures daytime exercise and avoiding non-sleep bed activities are good sleep hygiene practices.
Question 4 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 5 of 5
The client asks the nurse not to tell the family about the medical diagnosis. In meeting this request
Correct Answer: A
Rationale: Respecting the client’s request not to disclose their diagnosis upholds confidentiality protecting their privacy. Justice involves fairness veracity involves truthfulness and a health care proxy is unrelated to disclosure.