ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
A nurse who works effectively with clients who are dying recognizes that
Correct Answer: A
Rationale: Comfort with oneβs 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.
Question 2 of 5
The home care nurse is assessing a client's abdomen 4 weeks after a colostomy in the descending colon was created. What are the expected findings of the a healthy client's abdominal assessment? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: A healthy colostomy shows a shiny moist deep pink stoma intact peristomal skin flat abdomen and normal bowel sounds (8-10 clicks/gurgles per minute) indicating good perfusion and GI function.
Question 3 of 5
A nurse is caring for a client suspected of having a pulmonary embolism. The client's arterial blood gas results indicate respiratory alkalosis. Which findings support this diagnosis?
Correct Answer: A
Rationale: Respiratory alkalosis is characterized by elevated pH (>7.45) and low PaCO2 (<35 mmHg) due to hyperventilation with HCO3 typically normal or slightly decreased. Option A (pH 7.54 PaCO2 25 HCO3 24) matches this profile consistent with hyperventilation from a pulmonary embolism. Option B indicates metabolic alkalosis (high pH high HCO3). Option C is normal. Option D suggests respiratory acidosis (low pH high PaCO2).
Question 4 of 5
The nurse is caring for a client receiving an intravenous medication that is a vesicant. The IV flow has stopped and there is pain,burning and swelling at the IV site. What action should the nurse take first?
Correct Answer: B
Rationale: For a vesicant medication causing pain burning and swelling (indicating extravasation) the first action is to immediately remove the catheter to prevent further tissue damage. Elevation keeping the catheter or applying a compress are secondary steps after stopping the infusion.
Question 5 of 5
The nurse recognizes that the patient who might have the most difficult time coping with a stressor is the one who:
Correct Answer: D
Rationale: Experiencing multiple stressors simultaneously can overwhelm coping resources making it harder to manage stress compared to a single stressor (biopsy relocation) or understanding a stressor which may aid coping.