ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A home health nurse is caring for a group of older adult clients. The nurse should initiate a referral to the Program of All-Inclusive Care for the Elderly (PACE) for which of the following clients?
Correct Answer: D
Rationale: The correct answer is D: A client whose caregiver requests adult day care services. PACE is designed to provide comprehensive care for older adults, including medical, social, and wellness services. Initiating a referral for a client whose caregiver requests adult day care services aligns with the goal of PACE to support older adults in the community and avoid unnecessary institutionalization. This option emphasizes the importance of supporting both the client and their caregiver in maintaining the client's well-being and independence. Referring a client for adult day care services through PACE can enhance the client's quality of life and provide respite for the caregiver.
Summary of other choices:
A: A client whose family requests hospital-based hospice care - Hospice care is typically for end-of-life care, not the comprehensive care provided by PACE.
B: A client who requires transfer to a skilled care facility - PACE aims to keep older adults in the community and avoid institutionalization.
C: A client who qualifies for telehealth for
Question 2 of 5
A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Instruct the client to void. Before a paracentesis, it is essential for the client to empty their bladder to minimize the risk of injury during the procedure. If the bladder is full, it can be punctured accidentally during the paracentesis. Positioning the client on their left side (
Choice
B) is not necessary for a paracentesis. Inserting an IV catheter (
Choice
C) is not directly related to preparing the client for a paracentesis. Preparing the client for moderate sedation (
Choice
D) is not typically required for a paracentesis procedure.
Question 3 of 5
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
Correct Answer: A
Rationale: The correct answer is A: Hemoglobin 14.9 g/dL. This indicates that the packed RBC transfusion was effective in increasing the client's hemoglobin levels, addressing the underlying anemia. A rise in hemoglobin signifies improved oxygen-carrying capacity and tissue perfusion.
Incorrect answers:
B: WBC count is not relevant to assessing the effectiveness of packed RBC transfusion.
C: Potassium levels are not directly related to packed RBC transfusion effectiveness.
D: BUN levels do not reflect the impact of packed RBC transfusion on hemoglobin levels.
Question 4 of 5
A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: The correct answer is C: Use the ventrogluteal site. This site is recommended for obese clients as it has a thicker muscle mass, reducing the risk of reaching subcutaneous tissue and ensuring proper medication absorption. A: A 1-inch needle may not be long enough to reach the muscle in obese clients. B: Using a 45° angle is not necessary for IM injections, especially in obese clients where a 90° angle is preferred. D: Pinching the skin up is not needed for IM injections and may lead to improper needle insertion.
Question 5 of 5
A nurse on a medical-surgical unit is assessing a client who has had a stroke. For which of the following findings should the nurse initiate a referral for occupational therapy?
Correct Answer: A
Rationale: The correct answer is A: Difficulty performing ADLs. Occupational therapy focuses on improving a person's ability to perform activities of daily living (ADLs) independently. After a stroke, clients may have difficulty with tasks such as bathing, dressing, and feeding themselves. Referring the client to occupational therapy can help them regain independence and improve their quality of life.
Choices B, C, and D are incorrect because they do not directly relate to the scope of occupational therapy. Swallowing issues (
B) may require a speech therapist, elevated blood glucose levels (
C) are managed by medical interventions, and an unsteady gait (
D) may be addressed by physical therapy.