ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: The correct procedures include crushing tablets safe for crushing and mixing with 20-30 mL of water or saline (
A) using liquid medications when available to prevent tube occlusion (
B) and flushing the tube with 20-30 mL of water or saline before and after administration to ensure patency (
D). Mixing all medications together (
C) risks interactions or tube clogging and is not recommended unless compatibility is confirmed. Adding medications to the feeding formula (E) is generally contraindicated due to potential interactions or altered drug absorption. Always verify with a pharmacist before crushing tablets to avoid altering extended-release or enteric-coated formulations.
Question 3 of 5
A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:
Correct Answer: C
Rationale: A peripheral IV saline lock maintains venous access for intermittent use allowing quick administration of medications or fluids when a client's condition changes without repeated venipuncture. It is not suitable for irritating solutions prolonged antibiotics or reliable blood draws.
Question 4 of 5
The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:
Correct Answer: A
Rationale: Loud snoring that disrupts sleep suggests possible sleep apnea requiring further inquiry about symptoms like fatigue or breathing pauses. Poor sleep after fights deep sleep and sleep talking are less concerning or common.
Question 5 of 5
A nurse who works effectively with clients who are dying recognizes that
Correct Answer: A
Rationale: Comfort with one’s own feelings about death enables nurses to provide compassionate effective care to dying clients. Hospice is not always preferred pain is not universal and fear varies despite information.