Questions 48

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ATI Msn De5320 Fundamentals Exam Questions

Question 1 of 5

A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room; room 212 is a semi-private, positive-pressure airflow room; 214 is a negative-pressure, semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?

Correct Answer: D

Rationale: A private, negative-pressure room (208) is ideal for suspected tuberculosis, preventing airborne pathogen spread. Semi-private rooms (214, 212) risk infecting others, and positive-pressure rooms (212, 216) are unsuitable for airborne infections.

Question 2 of 5

A nurse is reviewing a client's medical record. Which of the following findings should the nurse identify as a fall risk?

Correct Answer: C

Rationale: Multiple sclerosis impairs balance and coordination, heightening fall risk. Hernias cause discomfort, hyperlipidemia affects lipids, and hyperthyroidism causes tremors, but they don’t directly affect mobility.

Question 3 of 5

A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?

Correct Answer: A

Rationale: Dual diagnosis treatment addresses both antisocial personality disorder and alcohol dependency with integrated care. Codependency support is for families, psychodrama explores emotions, and crisis intervention is short-term.

Question 4 of 5

A nurse is providing change-of-shift report to another nurse for a client using the Introduction, Situation, Background, Assessment, and Recommendation (ISBARR) communication tool. Which of the following information should the nurse include as part of the situation component of this communication tool?

Correct Answer: A

Rationale: The situation component of ISBARR describes the client’s current medical condition and reason for care. Medications, vital signs, and treatments belong to background, assessment, or recommendation sections.

Question 5 of 5

A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Soap and water effectively clean the perineum, maintaining hygiene. Using one washcloth section risks contamination, air drying causes irritation, and cleaning from rectum to perineum spreads bacteria.

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