ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 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 2 of 5
How can the nurse best assess a client's learning style preference?
Correct Answer: A
Rationale: Directly asking the client about their preferred learning style provides clear insight into their needs (e.g. visual auditory). Other methods assess skills or behavior but not learning style preference.
Question 3 of 5
A client is hyperventilating due to an acute psychologic stressor. The arterial blood gas results show that the client is in respiratory alkalosis. What is the nurse's initial intervention?
Correct Answer: C
Rationale: Assisting with slowed breathing techniques corrects hyperventilation-induced respiratory alkalosis by normalizing respiratory rate. Sedatives may worsen respiratory drive seizure assessment is secondary and blood pressure monitoring is not the priority.
Question 4 of 5
The nurse is preparing to administer an enteral tube feeding to a client via a nasogastric tube. Which nursing action should be completed first?
Correct Answer: C
Rationale: Confirming nasogastric tube placement by aspirating stomach contents and checking pH (typically <5 for gastric placement) is the first step to ensure the tube is in the stomach not the lungs preventing aspiration. Allowing the formula to reach room temperature (
A) prevents discomfort but is secondary. Labeling the container (
B) ensures safety but follows placement confirmation. Assessing residual volume (
D) checks for gastric emptying but requires confirmed tube placement first.
Question 5 of 5
For an arterial blood gas (ABG) to have full compensation,which of the following statements is correct?
Correct Answer: C
Rationale: Full compensation occurs when pH pCO2 and HCO3 adjust to near-normal ranges within approximately 72 hours counteracting the primary acid-base disorder. Other options describe partial compensation or uncompensated states.