ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The client asks the nurse not to tell the family about the medical diagnosis. In meeting this request
Correct Answer: A
Rationale: Respecting the client’s request not to disclose their diagnosis upholds confidentiality protecting their privacy. Justice involves fairness veracity involves truthfulness and a health care proxy is unrelated to disclosure.
Question 2 of 5
Two clients have been in a similar motor vehicle accident, and have similar injuries. The nurse observes each client's different responses to this stressor. The nurse understands that the degree of stress each client experiences from the crash may be influenced by their: (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: Factors influencing stress response include health status age external resources (e.g. support systems) problem-solving skills and personality traits all of which affect coping capacity and resilience.
Question 3 of 5
A nurse is about to administer a bolus enteral feeding to a client who is on bedrest. How does the nurse position the client during the feeding?
Correct Answer: B
Rationale: Elevating the head of the bed to 30-45 degrees during enteral feeding reduces the risk of aspiration by promoting gastric emptying and preventing reflux. Other positions such as lying on the side or minimal elevation increase aspiration risk or are less effective.
Question 4 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.
Question 5 of 5
The nurse suspects that a client's intravenous solution has infiltrated. What action should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion immediately is the first action for suspected infiltration to prevent further fluid leakage into tissues which could cause damage. Documentation flushing or catheter removal follow after stopping the infusion.