ATI RN
Fundamental Of Nursing Nclex Practice Questions Questions
Question 1 of 5
Before rigor mortis occurs, what is the nurse responsible for?
Correct Answer: B
Rationale: Before rigor mortis occurs, it is essential to place a pillow under the body's head and shoulders to maintain proper positioning. This helps prevent postmortem changes and ensures a more dignified appearance. Providing a complete bath and dressing change, removing clothing, or wrapping the body in a shroud are tasks typically done after rigor mortis sets in or later in the postmortem care process. Allowing the body to relax normally does not address the need for proper positioning before rigor mortis occurs.
Question 2 of 5
According to the principles of standard precautions, when should gloves be worn by healthcare providers?
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 3 of 5
The healthcare professional is preparing to take vital signs in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client's temperature?
Correct Answer: A
Rationale: The most accurate method for assessing temperature in an alert client is the oral method. It provides a more reliable reflection of the body's core temperature compared to axillary or radial methods. In cases of dehydration, it is important to get an accurate temperature reading to monitor the client's condition closely.
Question 4 of 5
A nurse obtained a client's pulse and found the rate to be above normal. The nurse documents this finding as:
Correct Answer: D
Rationale: When a nurse finds a client's pulse rate to be above normal, it is documented as tachycardia. Tachycardia specifically refers to an elevated heart rate, while tachypnea is rapid breathing, hyperpyrexia is high fever, and arrhythmia is an irregular heartbeat. Therefore, the correct term to describe an above-normal pulse rate is tachycardia.
Question 5 of 5
Which of the following actions should be taken to use a wide base support when assisting a client to get up in a chair?
Correct Answer: C
Rationale: When assisting a client to get up in a chair, it is essential to use a wide base of support to maintain stability and prevent injuries. Spreading the feet apart provides a broader base, increasing balance and support for both the client and the caregiver. This position helps distribute the weight evenly and allows for better control when assisting the client in moving.