ATI RN
ATI Nproo 2100 Exam Unit 3 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was sexually assaulted. An assessment of the client indicates that they might have been exposed to human immunodeficiency virus (HIV). Which of the following questions is most important to ask the client?
Correct Answer: C
Rationale: Identifying the assailant helps assess HIV exposure risk and determine post-exposure prophylaxis needs. Location, police permission, and timing are secondary.
Question 2 of 5
A nurse is caring for a client who has a peanut allergy. The client ate peanut butter and is now experiencing anaphylaxis. Which of the following physiological responses should the nurse expect to occur?
Correct Answer: B
Rationale: In anaphylaxis, blood vessels become permeable, causing swelling and hypotension. Blood pressure decreases, vessels dilate, and white blood cells are activated.
Question 3 of 5
A nurse is caring for a 73-year-old client in the emergency department (ED). It has been identified that the client is in sepsis. Select the 4 actions that the nurse should complete in the first hour to manage sepsis and prevent further complications?
Correct Answer: D,E,F,G
Rationale: Measuring lactate, administering antibiotics, giving 30 mL/kg saline, and obtaining blood cultures are critical in the first hour for sepsis management per guidelines.
Question 4 of 5
A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22, PaCO2 68 mm Hg, Base excess -2, PaO2 78 mm Hg, Saturation 80%, Bicarbonate 26 mEq/L
Correct Answer: A
Rationale: Low pH (7.22) and high PaCO2 (68 mm Hg) with normal bicarbonate indicate respiratory acidosis due to hypoventilation. Other options do not match.
Question 5 of 5
A nurse is caring for a client who has hypovolemic shock. Which of the following should the nurse recognize as an expected finding?
Correct Answer: B
Rationale: Oliguria occurs in hypovolemic shock due to reduced renal perfusion. Flushing, bradypnea, and hypertension are not typical; instead, cool skin, tachypnea, and hypotension are expected.