ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings during the night, reducing the risk of tripping or falling. A: Keeping the room temperature low can increase the risk of falls due to discomfort. B: Placing the table far from the bed can make it difficult for the client to reach items and increase the risk of falls. D: Elevating full-length side rails can lead to entrapment and should only be used when necessary and with proper assessment.
Question 2 of 5
A nurse is preparing to provide postmortem care for a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Ask the family if they wish to assist in washing the client's body. This allows the family to participate in the postmortem care process, promoting closure and providing a meaningful way to say goodbye. Removing dentures (
A) may be inappropriate unless requested by the family. Turning lights to a bright setting (
B) can make the environment harsh and uncomfortable. Leaving the client's eyes open (
C) may be distressing for the family and is not a standard practice.
Question 3 of 5
A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare the client for surgery. In emergency situations where a client is unconscious and requires immediate surgery to prevent harm or save their life, healthcare providers are ethically obligated to act in the client's best interest. This principle, known as beneficence, allows healthcare professionals to provide necessary care in emergency situations without prior consent. By preparing the client for surgery, the nurse ensures the client receives timely and potentially life-saving treatment. Obtaining consent from the surgeon (
B) is not appropriate as the surgeon cannot provide consent on behalf of the client. Contacting the facility's ethics committee (
C) may cause unnecessary delays in providing urgent care. Keeping the client stable until a family member arrives (
D) may jeopardize the client's health and violates the principle of beneficence.
Extract:
Exibit 1
Provider Prescriptions
Day 4, 1500:
Discharge prescriptions:
Cephalexin 500 mg PO every 6 hr for 5 days Prednisone 40 mg PO daily for 5 days Home oxygen 3 L/min via nasal cannula
Exibit 2
Vital Signs
Day 1, 1100:
Temperature 39.1° C (102.4° F) Pulse rate 102/min Respiratory rate 26/min
Blood pressure 122/80 mm Hg Oxygen saturation 86% on room air Weight 90.7 kg (200 lb)
Day 2, 1200:
Temperature 38° C (100.4° F) Pulse rate 100/min Respiratory rate 22/min
Blood pressure 120/74 mm Hg
Oxygen saturation 88% on nasal cannula at 2 L/min Day 3, 1200:
Température 37.2° C (98.9" F) Pulse rate 90/min
Respiratory rate 20/min
Blood pressure 120/72 mm Hg
Exibit 3
Medication Administration Record
Day 1, 1500:
Cefazolin 500 mg every 12 hr IV Dexamethasone 15 mg every 6 hr IV Day 3, 1200:
Discontinue dexamethasone 15 mg every 6 hr IV Prednisone 40 mg PO daily
Day 4, 1500:
Discontinue cefazolin 500 mg every 12 hr IV
Question 4 of 5
A nurse is caring for a client who has pneumonia. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: D,E,F
Rationale:
Correct Answer: D, E, F
Rationale:
D: Steroid medication should be taken in the morning - Steroid medication is typically taken in the morning to align with the body's natural cortisol production.
E: The steroid dose will decrease each day - Steroid therapy is usually tapered off gradually to prevent withdrawal symptoms.
F: Ensure the oxygen delivery system is at least 8 feet from any heat source - This is important to prevent the risk of fire or explosion.
Incorrect
Choices:
A: Store the oxygen cylinder wrench with the oxygen tank - This is incorrect as the wrench should be stored separately for easy access during emergencies.
B: Antibiotic therapy should be taken for 10 days - The duration of antibiotic therapy may vary depending on the specific antibiotic and the severity of the infection. It is not always 10 days.
C: Adjust the oxygen flow rate as needed to ease breathing - The oxygen flow rate should be set according to the healthcare provider's instructions and not adjusted arbitrarily.
G
Extract:
Question 5 of 5
A nurse is caring for a client who has severe rheumatoid arthritis in her hands and is unable to feed herself. For which of the following health care team members should the nurse request a referral from the provider?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. An occupational therapist specializes in helping individuals regain independence in performing daily activities, such as feeding themselves. They can provide adaptive tools and techniques to assist the client with severe rheumatoid arthritis in her hands. A social worker (
A) typically focuses on psychosocial issues, a physician assistant (
B) assists the physician in medical care, and a physical therapist (
C) focuses on physical rehabilitation.
Therefore, the best choice for this scenario is an occupational therapist.