ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving intermittent enteral feedings via a gastrostomy tube. Which of the following actions should the nurse take when administering the feeding?
Correct Answer: A
Rationale: Unclamping the tube allows free flow of the feeding into the stomach. Verifying a pH of 7 is unnecessary adjusting syringe height is imprecise and sterile gloves are not required for feeding administration though clean gloves are used for infection control.
Question 2 of 5
A nurse on a medical-surgical unit is planning care for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: Using a pulse oximeter is a routine task suitable for delegation to an AP for a stable client. Suppository administration spirometer instruction and glucose monitoring require nursing judgment and should not be delegated.
Question 3 of 5
A nurse is providing teaching to a client who has a new colostomy. Which of the following actions should the nurse take when demonstrating how to change the ostomy appliance?
Correct Answer: D
Rationale: Tracing the size of the stoma onto the skin barrier ensures a precise fit which is crucial for preventing leaks and maintaining the integrity of the ostomy. A proper fit also helps in preventing skin irritation and discomfort. Applying skin sealant on damp skin compromises adhesion and can lead to skin irritation. Removing the appliance before emptying the pouch is unnecessary and disrupts the seal. Ensuring the skin is slightly damp is incorrect as the skin should be completely dry for proper adhesion.
Question 4 of 5
A nurse is reviewing the client's right to refuse treatment with other members of the health care team. The nurse should identify this right as which of the following ethical principles?
Correct Answer: D
Rationale: Autonomy emphasizes a client’s right to make decisions about their healthcare including refusing treatment. Justice involves fair resource distribution veracity is truthfulness and fidelity is loyalty to the client’s well-being none of which directly address refusal rights.
Question 5 of 5
A nurse is reviewing the ABG results for a client. The client's results are pH 7.47,PaCO2 30 mm Hg HCO3 25 mEq/L,and SaO2 90%. The nurse should identify that the client is experiencing which of the following acid-base imbalances?
Correct Answer: C
Rationale: Metabolic alkalosis is indicated by elevated pH (7.47) and normal-to-elevated HCO3 (25 mEq/L) with PaCO2 (30 mm Hg) slightly low as compensation. Metabolic acidosis has low pH and HCO3 respiratory acidosis has high PaCO2 and respiratory alkalosis has low PaCO2 with high pH.