ATI RN
ATI RN VATI Fundamentals S 2019 Final Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has rubella. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Wearing a surgical mask when within 0.9 m (3 feet) of the client is appropriate as rubella is an airborne disease transmitted through respiratory droplets. This precaution helps prevent the spread of infection. Fresh flowers are unrelated to rubella transmission. Negative-airflow rooms are used for diseases like tuberculosis not rubella. Visitors can be allowed with proper protective measures so banning them is unnecessary.
Question 2 of 5
A nurse is teaching a client to manage stress by using progressive relaxation techniques. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Progressive muscle relaxation involves tensing and relaxing muscle groups to recognize tension versus relaxation sensations aiding stress management. Normal breathing is secondary imagining a peaceful setting is unrelated and stretches are not part of this technique.
Question 3 of 5
A nurse is preparing to administer an oral opioid analgesic to a client. Which of the following actions should the nurse take when handling an unused portion of the medication after administration?
Correct Answer: D
Rationale: Returning unused opioids to locked narcotics storage ensures security and prevents diversion. Sending to the pharmacy unverifiable disposal or keeping in a drawer lacks accountability and safety.
Question 4 of 5
A nurse is planning care for a client who has a fever due to an infection. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: A
Rationale: Encouraging fluid intake helps prevent dehydration which is a common concern when a client has a fever. Adequate hydration supports the body's ability to regulate temperature and maintain overall health. Maintaining the environmental temperature at 16°C to 18°C is too cold and can cause discomfort or shivering which may increase the client's metabolic rate and worsen the fever. Immersing the client in cold water is not recommended as it can cause shock and is not an effective or safe method for reducing fever. Assisting the client to ambulate is not a priority intervention for managing fever; the focus should be on hydration and comfort.
Question 5 of 5
A nurse is planning care for a client who reports having difficulty sleeping. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Scheduling exercise 3 hours before bedtime promotes sleep by regulating the sleep-wake cycle without stimulating effects close to bedtime. Hot chocolate contains caffeine music may disrupt sleep and mealtime adjustment is less impactful.