ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
For an arterial blood gas (ABG) to have full compensation,which of the following statements is correct?
Correct Answer: C
Rationale: Full compensation occurs when pH pCO2 and HCO3 adjust to near-normal ranges within approximately 72 hours counteracting the primary acid-base disorder. Other options describe partial compensation or uncompensated states.
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
The following arterial blood gas results would demonstrate to the nurse that the client is experiencing which acid-base imbalance? pH 7.31 PaCO2 40,HCO3 18 pa02 92
Correct Answer: D
Rationale: A pH of 7.31 (low) and HCO3 of 18 (low) indicate metabolic acidosis as the primary issue is a decrease in bicarbonate. Normal PaCO2 (40) rules out respiratory issues and high pH or high HCO3 would indicate alkalosis.
Question 4 of 5
The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:
Correct Answer: A
Rationale: Loud snoring that disrupts sleep suggests possible sleep apnea requiring further inquiry about symptoms like fatigue or breathing pauses. Poor sleep after fights deep sleep and sleep talking are less concerning or common.
Question 5 of 5
A client who has been taking benzodiazepine sedative every night for two weeks wishes to stop taking them now. The nurse advises the client to:
Correct Answer: A
Rationale: Gradual tapering of benzodiazepines under medical supervision minimizes withdrawal symptoms and rebound insomnia. Abrupt cessation weekend timing continued use or switching to antihistamines without guidance risks adverse effects.