ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The client experiencing abdominal distention and severe vomiting has just had a nasogastric (NG) tube inserted. When teaching this client which rationale for the use of the NG tube should the nurse include?
Correct Answer: A
Rationale: The primary purpose of an NG tube in this scenario is to decompress the stomach by removing excess gas and fluid relieving abdominal distention and vomiting. Administering medications (
B) or determining pH (
C) are secondary uses often for tube placement confirmation. Supplying nutrients (
D) is inappropriate in acute vomiting due to risk of aspiration.
Question 2 of 5
A client will require IV antibiotics for several weeks. Which venous access device would be most appropriate to be used for this client?
Correct Answer: B
Rationale: A peripherally inserted central catheter (PIC
C) is ideal for long-term IV therapy such as weeks of antibiotic administration due to its stability reliability and ability to deliver medications directly into larger central veins. Butterfly needles are for short-term use peripheral IV-locks are suitable for intermittent short-term therapy and a 16-gauge angiocath while robust is not designed for extended use and may cause vein irritation over time.
Question 3 of 5
Which of the following are physiologic manifestations which occur in the alarm stage of the General Adaptation Syndrome? (SELECT ALL THAT APPLY)
Correct Answer: B,C,D
Rationale: The alarm stage involves sympathetic activation causing increased mental acuity urine retention and bronchial dilation. Blood glucose increases and pupils dilate not decrease.
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
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.