ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is performing a bladder irrigation for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Slowly instilling 400 to 500 mL of solution effectively flushes the bladder without overdistension. Clamping the tubing prevents solution flow using a needle is inappropriate and withdrawing solution disrupts the irrigation process.
Question 2 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.
Question 3 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 4 of 5
A nurse is caring for a postoperative client and observes evisceration of the abdominal surgical wound. After covering the wound with a sterile,saline-soaked dressing which of the following actions should the nurse take?
Correct Answer: C
Rationale: Preparing the client for emergency surgery is critical as evisceration is a surgical emergency requiring immediate intervention to repair the wound and secure exposed organs. Lying flat may increase pressure on organs increasing risk. Increasing fluid intake is not a priority in this acute situation. Applying pressure could damage exposed organs and is contraindicated.
Question 5 of 5
A nurse is caring for a client who reports using alcohol and controlled substances to cope with the death of their partner. The nurse should identify that maladaptive coping is an indication of which of the following types of complicated grief?
Correct Answer: B
Rationale: Exaggerated grief involves intense prolonged emotions and maladaptive behaviors such as substance use to cope as seen in this client. Chronic grief is prolonged sadness delayed grief is postponed and masked grief manifests as unrelated symptoms not substance use.