ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The physician has discussed the need for surgery with a client and has obtained informed consent. The nurse determines that the client does not understand the risks and benefits of the procedure. What is the nurse's best action?
Correct Answer: A
Rationale: Informed consent requires that the client fully understands the procedure including its risks benefits and alternatives. If the nurse determines that the client does not comprehend these aspects the best action is to notify the physician who is responsible for obtaining informed consent. The physician can then reassess the client's understanding and provide further clarification. Explaining the procedure in simple terms may be helpful but does not address the legal and ethical responsibility of ensuring informed consent which lies with the physician. Canceling the surgery is premature without first addressing the misunderstanding and witnessing the signature without resolving the comprehension issue would be unethical.
Question 2 of 5
A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings
Correct Answer: C
Rationale: Elevated sodium (152 mEq/L) BUN (39 mg/dL) and normal creatinine suggest dehydration from fluid loss. SIADH causes low sodium low-protein diets don’t cause these imbalances and renal failure typically elevates creatinine.
Question 3 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 4 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 5 of 5
A client requires a type of therapy for the preservation,enhancement or restoration of movement. Which abbreviation would describe this type of discipline?
Correct Answer: B
Rationale: Physical therapy (PT) focuses on preserving enhancing or restoring movement through exercises and manual techniques. RT addresses respiratory issues STLP targets communication and OT focuses on daily activities.