ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
It is a busy day on the medical-surgical floor,and the nurse must teach a client ready for discharge about his medications. How can the nurse most efficiently utilize time and provide this education?
Correct Answer: A
Rationale: Teaching about medications as they are given integrates education into routine care saving time while ensuring immediate relevance. Bath discussions are distracting post-discharge calls delay teaching and written instructions alone may not ensure understanding.
Question 2 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 3 of 5
A nurse is caring for a client in the dying process. How can the nurse best support the client and their family? (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Supporting the client and family involves assessing for bereavement risks understanding their knowledge of the dying process and respecting cultural/religious beliefs. Encouraging frequent meals is inappropriate due to diminished appetite and limiting family time contradicts emotional support needs.
Question 4 of 5
The nurse is caring for a 96-year-old client who has been admitted for treatment of a urinary tract infection. The nurse notices that the client takes two one-hour naps each day,one mid-morning and the other late afternoon. What intervention should the nurse implement?
Correct Answer: D
Rationale: Napping is a normal and beneficial behavior for older adults especially a 96-year-old and does not require intervention unless it disrupts nighttime sleep or daily activities. Encouraging wakefulness substituting therapy or prescribing sleep aids are unnecessary without evidence of a problem.
Question 5 of 5
The nurse promotes good quality sleep for their clients based on the knowledge that sleep: (SELECT ALL THAT APPLY)
Correct Answer: C,D,E
Rationale: Sleep helps cope with stress by regulating stress hormones restores the mind and body through repair and memory consolidation and conserves energy by reducing metabolic rate. It increases pain tolerance and typically lowers blood pressure.