ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The nurse assessing a client's intravenous catheter site suspects a phlebitis based on which clinical findings?
Correct Answer: A
Rationale: Warmth and a palpable cord along the vein are hallmark signs of phlebitis indicating inflammation of the vein. A raised ecchymotic area suggests bruising or extravasation swelling and tenderness may occur but are less specific and blanching with coolness indicates reduced blood flow not typical of phlebitis.
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
The nurse identifies which client to be at risk for developing metabolic alkalosis? The client who:
Correct Answer: A
Rationale: Prolonged vomiting causes loss of hydrochloric acid leading to metabolic alkalosis. Diarrhea risks acidosis heroin overdose causes respiratory acidosis and asthma causes respiratory alkalosis.
Question 4 of 5
A client requires an IV antibiotic piggyback. The nurse understands that the primary IV solution with gravity flow tubing needs to be hung:
Correct Answer: A
Rationale: Hanging the primary IV solution higher than the piggyback ensures a pressure gradient that allows the primary solution to infuse first followed by the piggyback medication. This sequential infusion prevents mixing and ensures proper administration. Hanging the primary solution lower or at the same height disrupts this sequence and placing it below the insertion site risks смысле
To facilitate proper gravity-driven infusion the primary IV solution must be hung higher than the piggyback medication. This setup ensures that the primary solution infuses first followed by the piggyback medication preventing mixing and ensuring proper administration.
Question 5 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.