ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer vancomycin 500 mg via intermittent IV infusion every 6 hr. Available is vancomycin 500 mg in 0.9% sodium chloride 100 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 50
Rationale: Calculate: 100 mL ÷ 2 hr = 50 mL/hr rounded to the nearest whole number as the total volume (100 mL) is infused over 2 hours.
Question 3 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 4 of 5
A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Exhaling slowly through pursed lips creates backpressure keeping airways open and improving oxygen exchange in COPD. Lying down restricts lung expansion inhaling through pursed lips is incorrect and puffing cheeks is ineffective.
Question 5 of 5
A nurse is caring for a client who has coronary artery disease and has a BMI of 30. Which of the following strategies should the nurse implement first to develop teaching that promotes lifestyle changes?
Correct Answer: C
Rationale: Establishing mutual learning goals fosters partnership and aligns teaching with client needs increasing lifestyle change success. Assessing knowledge identifying resources and scheduling sessions follow goal-setting.