ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The nurse has finished providing a tube feeding to a client. What should the nurse document about this procedure? (SELECT ALL THAT APPLY)
Correct Answer: A,C,D,E
Rationale: Documentation for tube feeding includes the solution provided client tolerance amount of solution and duration to ensure accurate records and continuity of care. The prescribing physician’s name is not typically required in this context.
Question 2 of 5
The nurse is assessing a client who has been experiencing prolonged stress. For which most serious complication should the nurse monitor the client?
Correct Answer: D
Rationale: Prolonged stress can impair immunity increasing susceptibility to infections and diseases a serious complication. Muscle tension sleep issues and increased peristalsis are less severe though significant.
Question 3 of 5
The client's IV,placed near the right antecubital space is running very slowly but does not appear infiltrated and does not have evidence of phlebitis. Which measure should the nurse implement to attempt to improve the flow rate of the IV?
Correct Answer: A
Rationale: Altering the client's arm position can improve IV flow by adjusting gravitational forces or relieving any positional obstruction such as kinking of the vein. This is a safe and non-invasive first step. Using an infusion pump regulates flow but may not address the underlying cause of the slow rate. Lowering the IV pole could reduce flow due to decreased gravitational pull. Opening the clamp fully risks rapid infusion potentially causing fluid overload or vein irritation.
Question 4 of 5
The nurse is performing post-mortem care on a client who has just died. What nursing care should be given priority?
Correct Answer: C
Rationale: Providing culturally and religiously sensitive care in body preparation is the priority during post-mortem care. Respecting the deceased person's cultural and religious beliefs ensures that care aligns with their customs and traditions which may involve specific rituals or practices. This is critical for honoring the dignity of the deceased and supporting the family's grieving process. Documentation handling belongings and arranging transport are important but secondary tasks that can be addressed after culturally sensitive care is provided.
Question 5 of 5
The nurse is caring for a client who is discussing being placed on hospice care. Which statement by the client indicates an understanding of hospice care?
Correct Answer: D
Rationale: Understanding hospice care includes knowing that pain medication is available for comfort a key focus. Planning travel suggests denial family exclusion is incorrect and hospital care is not mandatory.