ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client is hyperventilating due to an acute psychologic stressor. The arterial blood gas results show that the client is in respiratory alkalosis. What is the nurse's initial intervention?
Correct Answer: C
Rationale: Assisting with slowed breathing techniques corrects hyperventilation-induced respiratory alkalosis by normalizing respiratory rate. Sedatives may worsen respiratory drive seizure assessment is secondary and blood pressure monitoring is not the priority.
Question 2 of 5
The nurse identifies which client to be at risk for developing metabolic alkalosis? The client who:
Correct Answer: A
Rationale: Prolonged vomiting causes loss of hydrochloric acid leading to metabolic alkalosis. Diarrhea risks acidosis heroin overdose causes respiratory acidosis and asthma causes respiratory alkalosis.
Question 3 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 4 of 5
The client experiencing abdominal distention and severe vomiting has just had a nasogastric (NG) tube inserted. When teaching this client which rationale for the use of the NG tube should the nurse include?
Correct Answer: A
Rationale: The primary purpose of an NG tube in this scenario is to decompress the stomach by removing excess gas and fluid relieving abdominal distention and vomiting. Administering medications (
B) or determining pH (
C) are secondary uses often for tube placement confirmation. Supplying nutrients (
D) is inappropriate in acute vomiting due to risk of aspiration.
Question 5 of 5
A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Supporting the client and family involves assessing for bereavement risks understanding their knowledge of the dying process and respecting cultural/religious beliefs. Encouraging frequent meals is inappropriate due to diminished appetite and limiting family time contradicts emotional support needs.