ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 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 2 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 3 of 5
The nurse is assessing a client's sleep patterns. Which statement made by the client would require additional questioning by the nurse? "My partner tells me that:
Correct Answer: A
Rationale: Loud snoring that disrupts sleep suggests possible sleep apnea requiring further inquiry about symptoms like fatigue or breathing pauses. Poor sleep after fights deep sleep and sleep talking are less concerning or common.
Question 4 of 5
The nurse caring for clients recognizes that there are several areas of potential liability in nursing practice. These include: (SELECT ALL THAT APPLY)
Correct Answer: A,C,E
Rationale: Transferring without a report documenting unverified vital signs and using faulty equipment (frayed cord) pose liability risks due to potential errors or harm. Routine tasks like assessments or physician calls are not inherently risky unless done improperly.
Question 5 of 5
A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:
Correct Answer: C
Rationale: A peripheral IV saline lock maintains venous access for intermittent use allowing quick administration of medications or fluids when a client's condition changes without repeated venipuncture. It is not suitable for irritating solutions prolonged antibiotics or reliable blood draws.