ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
Which statement made by a client experiencing insomnia indicates a need for further education by the nurse? "I
Correct Answer: D
Rationale: Drinking alcohol before bed disrupts sleep exacerbating insomnia indicating a need for education. Cool temperatures daytime exercise and avoiding non-sleep bed activities are good sleep hygiene practices.
Question 2 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 3 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.
Question 4 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).
Question 5 of 5
The nurse knows the fecal output will be more solid from a stoma created from which area of the bowel?
Correct Answer: D
Rationale: The sigmoid colon near the rectum produces more solid stool due to water absorption. The transverse and ascending colon produce less solid stool and ileum output is liquid.