ATI RN
Client Health and Safety Specifications Questions
Question 1 of 5
A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, which action should the nurse take to relieve pain?
Correct Answer: B
Rationale: The correct answer is B: Place warm compresses on the site. This helps to promote vasodilation and increase blood flow, which can help to reduce pain and swelling. Warm compresses can also help to improve circulation and promote healing of the affected area. Administering topical lidocaine may provide temporary relief but does not address the underlying cause of pain and swelling. Administering oral pain medication may be necessary for severe pain but does not directly address the localized pain at the site. Massaging the site with scented oils can further irritate the area and should be avoided to prevent further discomfort.
Question 2 of 5
A client has been recently admitted to an inpatient psychiatric unit. Which intervention should the nurse plan to use to reduce the client's focus on delusional thinking?
Correct Answer: B
Rationale: The correct answer is B: Focus on feelings suggested by the delusion. This approach helps the nurse establish rapport with the client by acknowledging their emotions, fostering trust, and potentially reducing anxiety related to the delusion. By exploring the underlying feelings, the nurse can address the root cause of the delusion and work towards reducing its impact on the client's thinking. A: Presenting evidence may not be effective as clients with delusions often have fixed beliefs that are not easily swayed by logical reasoning or evidence. C: Addressing the delusion with logical explanations may reinforce the client's belief rather than reduce it as delusions are not based on logic. D: Exploring reasons behind the delusion is important but may not directly address the client's immediate focus on delusional thinking.
Question 3 of 5
The patient has just been told that he has cancer. When the nurse assesses the patient at shift change, his heart rate and respirations are elevated. What type of response is this to stress?
Correct Answer: C
Rationale: The correct answer is C: Physiologic. When the patient's heart rate and respirations are elevated in response to stress, it indicates a physiological response. This is the body's natural reaction to stress, known as the fight-or-flight response. The sympathetic nervous system is activated, leading to increased heart rate and respirations to prepare the body to respond to the perceived threat. Somatic response (choice A) refers to physical sensations in the body, not the autonomic physiological response. Neurologic response (choice B) involves the nervous system's role in transmitting signals, but it does not specifically address the physiological changes observed in this scenario. Psychological response (choice D) refers to emotional and cognitive reactions, which are distinct from the physiological changes seen in the patient's heart rate and respirations.
Question 4 of 5
Which of the following are nursing care guidelines when preparing a body for the morgue? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B because leaving the hospital ID band in place ensures proper identification of the deceased individual. This step is crucial to prevent any mix-ups or confusion. Assessing vital signs (A) is unnecessary as the person is already deceased. Checking the death certificate (C) is not a nursing responsibility. Following institutional policies (D) is important but not specific to preparing the body for the morgue.
Question 5 of 5
A patient has pitting pedal edema, crackles, and an elevated blood pressure. The nurse concludes that the patient has fluid volume excess. Which type of reasoning did the nurse use?
Correct Answer: B
Rationale: The correct answer is B: Inductive reasoning. The nurse observed specific signs and symptoms (pitting pedal edema, crackles, elevated blood pressure) and made a general conclusion (fluid volume excess). Inductive reasoning involves drawing general conclusions from specific observations. The nurse did not use theoretical reasoning (A), as she did not rely on abstract principles. Deductive reasoning (C) involves drawing specific conclusions from general premises, which was not the case here. Conceptual reasoning (D) involves understanding abstract concepts, not directly applicable in this scenario. In summary, the nurse used inductive reasoning by inferring fluid volume excess based on specific clinical findings.