ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client is receiving an intravenous (IV) solution over a short amount of time to replace volume losses. The nurse understands that this IV solution is most likely to be:
Correct Answer: A
Rationale: Isotonic solutions such as 0.9% saline or lactated Ringer’s have the same osmolarity as blood plasma preventing fluid shifts across cell membranes. They are ideal for rapid volume replacement in hypovolemia as they restore intravascular volume without causing cellular swelling or dehydration. Hypotonic solutions (
B) cause water to enter cells risking cerebral edema. Hypertonic solutions (
C) draw water from interstitial spaces but are used in specific conditions like severe hyponatremia. Hyperosmotic (
D) is not a standard term for IV solutions and overlaps with hypertonic.
Question 2 of 5
A client has been recently diagnosed with terminal cancer. The client states,This cannot be happening to me. The nurse identifies that the client is in what stage of grieving process?
Correct Answer: D
Rationale: The statement “This cannot be happening to me” reflects denial the initial stage of grief where the client refuses to accept the diagnosis. Depression involves sadness anger involves frustration and bargaining involves negotiating outcomes.
Question 3 of 5
The nurse is presenting teaching sessions to a group of clients in a facility for long-term physical rehabilitation. Which client exhibits the highest motivation to learn? The client who:
Correct Answer: B
Rationale: Excitement about learning to use a new prosthesis indicates enthusiasm and engagement reflecting high motivation to learn. Option A suggests low motivation due to non-compliance. Option C indicates motivation to help others not personal learning. Option D focuses on discharge not learning engagement. Motivation theory supports that positive attitudes drive learning.
Question 4 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 5 of 5
A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings
Correct Answer: C
Rationale: Elevated sodium (152 mEq/L) BUN (39 mg/dL) and normal creatinine suggest dehydration from fluid loss. SIADH causes low sodium low-protein diets don’t cause these imbalances and renal failure typically elevates creatinine.