Questions 68

ATI RN

ATI RN Test Bank

ATI RN Fundamentals Exam 3 Questions

Extract:


Question 1 of 5

A hospice client is being cared for by the nurse at home. The client begins to experience changes in respirations,coughing and becoming increasingly restless. Based on these clinical manifestations the nurse would implement which of the following interventions? (SELECT ALL THAT APPLY)

Correct Answer: C,D

Rationale: In hospice care relieving pain and distressing symptoms (e.g. coughing restlessness) and positioning the bed in semi-Fowler’s to ease breathing are priorities. Hospitalization oxygen or anti-anxiety medications may not align with hospice goals or require medical orders.

Question 2 of 5

For an arterial blood gas (ABG) to have full compensation,which of the following statements is correct?

Correct Answer: C

Rationale: Full compensation occurs when pH pCO2 and HCO3 adjust to near-normal ranges within approximately 72 hours counteracting the primary acid-base disorder. Other options describe partial compensation or uncompensated states.

Question 3 of 5

Two clients have been in a similar motor vehicle accident, and have similar injuries. The nurse observes each client's different responses to this stressor. The nurse understands that the degree of stress each client experiences from the crash may be influenced by their: (SELECT ALL THAT APPLY)

Correct Answer: A,B,C,D,E

Rationale: Factors influencing stress response include health status age external resources (e.g. support systems) problem-solving skills and personality traits all of which affect coping capacity and resilience.

Question 4 of 5

The nurse is caring for a client who just had a subclavian central venous catheter inserted. Which symptom should the nurse recognize as setting a priority for this client's care?

Correct Answer: B

Rationale: Tachycardia may indicate serious complications like hemorrhage or pulmonary embolism post-catheter insertion requiring urgent evaluation. Decreased pulses crackles and headaches are less immediately concerning.

Question 5 of 5

It is a busy day on the medical-surgical floor,and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?

Correct Answer: A

Rationale: Teaching about medications as they are given integrates education into routine care saving time while ensuring immediate relevance. Bath discussions are distracting post-discharge calls delay teaching and written instructions alone may not ensure understanding.

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