ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 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 2 of 5
A client is receiving an intravenous (IV) solution over a short amount of time to replace volume losses. The nurse understands that this IV solution is most likely to be:
Correct Answer: A
Rationale: Isotonic solutions such as 0.9% saline or lactated Ringer’s have the same osmolarity as blood plasma preventing fluid shifts across cell membranes. They are ideal for rapid volume replacement in hypovolemia as they restore intravascular volume without causing cellular swelling or dehydration. Hypotonic solutions (
B) cause water to enter cells risking cerebral edema. Hypertonic solutions (
C) draw water from interstitial spaces but are used in specific conditions like severe hyponatremia. Hyperosmotic (
D) is not a standard term for IV solutions and overlaps with hypertonic.
Question 3 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 4 of 5
A client has been recently diagnosed with terminal cancer. The client states,This cannot be happening to me. The nurse identifies that the client is in what stage of grieving process?
Correct Answer: D
Rationale: The statement “This cannot be happening to me” reflects denial the initial stage of grief where the client refuses to accept the diagnosis. Depression involves sadness anger involves frustration and bargaining involves negotiating outcomes.
Question 5 of 5
The nurse recognizes that the patient who might have the most difficult time coping with a stressor is the one who:
Correct Answer: D
Rationale: Experiencing multiple stressors simultaneously can overwhelm coping resources making it harder to manage stress compared to a single stressor (biopsy relocation) or understanding a stressor which may aid coping.