ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 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 2 of 5
How can teaching be best provided to a client who has a different primary language than the nurse?
Correct Answer: B
Rationale: Using an interpreter ensures accurate verbal communication bridging language barriers for complex teaching. Demonstrations visual aids and written materials are helpful but less effective without clear verbal explanation.
Question 3 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 4 of 5
The nurse is caring for a client who just had a subclavian central venous catheter inserted. Which symptom should the nurse recognize as setting a priority for this client's care?
Correct Answer: B
Rationale: Tachycardia may indicate serious complications like hemorrhage or pulmonary embolism post-catheter insertion requiring urgent evaluation. Decreased pulses crackles and headaches are less immediately concerning.
Question 5 of 5
The nurse assessing a client's intravenous catheter site suspects a phlebitis based on which clinical findings?
Correct Answer: A
Rationale: Warmth and a palpable cord along the vein are hallmark signs of phlebitis indicating inflammation of the vein. A raised ecchymotic area suggests bruising or extravasation swelling and tenderness may occur but are less specific and blanching with coolness indicates reduced blood flow not typical of phlebitis.