Questions 81

ATI RN

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ATI Exit Exam Quizlet Questions

Question 1 of 5

A nurse is caring for a client who is at risk for pressure ulcers. Which of the following interventions should the nurse implement?

Correct Answer: A

Rationale: The correct intervention for preventing pressure ulcers in a client at risk is to turn the client every 2 hours. This helps relieve pressure on bony prominences, improving circulation and preventing tissue damage. Using a donut-shaped cushion can actually increase pressure on the skin and worsen the risk of pressure ulcers. Elevating the head of the bed to 45 degrees is beneficial for preventing aspiration in some cases but does not directly address pressure ulcer prevention. Massaging reddened areas can further damage the skin and increase the risk of pressure ulcer development by causing friction and shearing forces.

Question 2 of 5

A nurse is assessing a client who has a history of gastroesophageal reflux disease (GERD). Which of the following findings should the nurse identify as a complication of GERD?

Correct Answer: A

Rationale: The correct answer is A: Hematemesis. Hematemesis (vomiting blood) is a sign of gastrointestinal bleeding and a serious complication of GERD. Melena (black, tarry stool) is also a sign of GI bleeding but is not as specific to GERD as hematemesis. Pallor may be present due to anemia from chronic blood loss, but it is not a direct complication of GERD. Steatorrhea is not typically associated with GERD; it is more indicative of malabsorption issues.

Question 3 of 5

A nurse is planning care for a client who has dehydration. Which of the following interventions should the nurse include?

Correct Answer: D

Rationale: The correct intervention for a client with dehydration is to administer 0.45% sodium chloride IV. This solution helps correct fluid imbalance by providing the necessary electrolytes. Restricting fluid intake (
Choice
A) is not appropriate for dehydration as the client needs adequate fluids to rehydrate. Providing a high-protein diet (
Choice
B) is not directly related to correcting dehydration. Encouraging the client to ambulate frequently (
Choice
C) is beneficial for overall health but does not address the issue of dehydration directly.

Question 4 of 5

A healthcare professional is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the healthcare professional identify as complete?

Correct Answer: D

Rationale: The correct answer is D because it provides the medication (Metoprolol), dosage (5 mg), route of administration (IV), and timing (now), making it a complete prescription.

Choices A, B, and C lack either the route of administration or timing, making them incomplete prescriptions. For choice A, it lacks the route of administration, and for choices B and C, they lack the timing of administration.

Question 5 of 5

A nurse is planning care for a client with thrombocytopenia. Which of the following actions should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: Provide the client with a stool softener. Thrombocytopenia is a condition characterized by a low platelet count, which can lead to an increased risk of bleeding. Providing the client with a stool softener is essential to prevent straining during bowel movements, which could result in bleeding for clients with thrombocytopenia. Encouraging the client to floss daily (choice
A) is unrelated to the management of thrombocytopenia. Removing fresh flowers (choice
B) is more relevant for clients with a compromised immune system. Avoiding serving raw vegetables (choice
D) is important for clients with compromised immune systems to prevent foodborne illnesses, but it is not directly related to thrombocytopenia.

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