ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A client requires an IV antibiotic piggyback. The nurse understands that the primary IV solution with gravity flow tubing needs to be hung:
Correct Answer: A
Rationale: Hanging the primary IV solution higher than the piggyback ensures a pressure gradient that allows the primary solution to infuse first followed by the piggyback medication. This sequential infusion prevents mixing and ensures proper administration. Hanging the primary solution lower or at the same height disrupts this sequence and placing it below the insertion site risks смысле
To facilitate proper gravity-driven infusion the primary IV solution must be hung higher than the piggyback medication. This setup ensures that the primary solution infuses first followed by the piggyback medication preventing mixing and ensuring proper administration.
Question 2 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.
Question 3 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 4 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 5 of 5
The home care nurse is assessing a client's abdomen 4 weeks after a colostomy in the descending colon was created. What are the expected findings of the a healthy client's abdominal assessment? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: A healthy colostomy shows a shiny moist deep pink stoma intact peristomal skin flat abdomen and normal bowel sounds (8-10 clicks/gurgles per minute) indicating good perfusion and GI function.