ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The nurse is caring for a client who has been diagnosed with an exacerbation of a progressive neurologic disease. The nurse recognizes that the client understands palliative care when the client states:
Correct Answer: B
Rationale: Understanding palliative care includes knowing it supports independence and quality of life. It doesn’t burden family solely relinquish decision-making or exclude specialists like neurologists.
Question 2 of 5
A nurse is administering medications to a client receiving tube feedings through a gastrostomy tube. The correct procedure for administration is to: (SELECT ALL THAT APPLY)
Correct Answer: A,B,D
Rationale: The correct procedures include crushing tablets safe for crushing and mixing with 20-30 mL of water or saline (
A) using liquid medications when available to prevent tube occlusion (
B) and flushing the tube with 20-30 mL of water or saline before and after administration to ensure patency (
D). Mixing all medications together (
C) risks interactions or tube clogging and is not recommended unless compatibility is confirmed. Adding medications to the feeding formula (E) is generally contraindicated due to potential interactions or altered drug absorption. Always verify with a pharmacist before crushing tablets to avoid altering extended-release or enteric-coated formulations.
Question 3 of 5
The nurse wants to evaluate the success of teaching the client a psychomotor skill. The best technique to use to evaluate this type of learning is to have the client:
Correct Answer: D
Rationale: A return demonstration allows the nurse to observe the client’s ability to perform a psychomotor skill assessing technique and safety. Oral questions discussions and written tests evaluate cognitive not psychomotor learning.
Question 4 of 5
The nurse suspects that a client's intravenous solution has infiltrated. What action should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion immediately is the first action for suspected infiltration to prevent further fluid leakage into tissues which could cause damage. Documentation flushing or catheter removal follow after stopping the infusion.
Question 5 of 5
A nurse is caring for a client suspected of having a pulmonary embolism. The client's arterial blood gas results indicate respiratory alkalosis. Which findings support this diagnosis?
Correct Answer: A
Rationale: Respiratory alkalosis is characterized by elevated pH (>7.45) and low PaCO2 (<35 mmHg) due to hyperventilation with HCO3 typically normal or slightly decreased. Option A (pH 7.54 PaCO2 25 HCO3 24) matches this profile consistent with hyperventilation from a pulmonary embolism. Option B indicates metabolic alkalosis (high pH high HCO3). Option C is normal. Option D suggests respiratory acidosis (low pH high PaCO2).