ATI FUNDEMENTALS PRACTICE TEST B.Q&A LATEST 2024

A nurse receives report about a client who has 0.9% sodium chloride infusing IV at 125 mL/hr. when the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. which of the following actions should the nurse take first? Check the IV tubing for obstruction. Rationale: The first action the nurse should take using the nursing process is to assess the client. By checking the IV tubing for obstruction, the nurse might be able to facilitate the flow of fluid through the tubing. This could re-establish the infusion rate the provider prescribed.1. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing she says, “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? Administer pain medication 45 min before changing the client’s dressing. Rationale: The priority action the nurse should take when using Maslow’s hierarchy of needs is to meet the client’s physiological need for comfort and pain relief. Therefore, the priority intervention is to administer an analgesic 30 to 60 min before changing the client’s dressing. 2. A nurse is caring for a child who has a prescription for a blood transfusion. The parents have refused the treatment due to religious beliefs. Which of the following actions should the nurse take? Examine the personal values about the issue. Rationale: The nurse should examine her own personal values about the issue to help her provide care that is without bias