ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client?
Correct Answer: A
Rationale: The correct answer is A: Deep tendon reflexes 2+. Monitoring deep tendon reflexes is crucial when a client is receiving magnesium sulfate due to its potential to cause muscle weakness and CNS depression. The nurse should assess for hyperreflexia, which indicates magnesium toxicity.
Choices B, C, and D are incorrect as they do not directly relate to the therapeutic effect of magnesium sulfate. Pulse rate and urine output may be affected by the medication but are not specific therapeutic effects to monitor for. Proteinuria can be a sign of kidney damage but is not a direct effect of magnesium sulfate therapy.
Question 2 of 5
A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: The correct answer is A. Using a filter needle to withdraw the medication from a glass ampule helps prevent glass particles from contaminating the medication. Breaking the neck of the ampule toward the body (choice
B) can lead to injury. Using the same needle to draw up and inject the client (choice
C) increases the risk of contamination. Disposing of the ampule in the trash can (choice
D) without following proper disposal protocols can be hazardous.
Question 3 of 5
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Acupuncture involves inserting needles into specific points on the body to alleviate pain. Herpes zoster, also known as shingles, is a viral infection that causes a painful rash. The presence of open sores or active infection in the area where acupuncture needles would be inserted can lead to complications such as spreading the virus or causing pain.
Therefore, it is contraindicated to receive acupuncture treatment when a client has active herpes zoster.
Hypertension (
A), obesity (
B), and hypothyroidism (
C) are not contraindications for acupuncture treatment. Hypertension may actually benefit from acupuncture as it can help reduce stress and improve circulation. Obesity and hypothyroidism do not pose any direct risks for receiving acupuncture treatment.
Question 4 of 5
A nurse is planning care for a client who has a prescription for a bowel-training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Administer a cathartic suppository 30 min prior to scheduled defecation times. This action helps stimulate bowel movement in clients with spinal cord injuries by promoting peristalsis and aiding in bowel evacuation. Increasing refined grains (choice
A) may not directly address the bowel-training program. Providing a cold drink (choice
B) may not have a significant impact on bowel movements. Restricting fluid intake to 1,500 mL per day (choice
D) can lead to dehydration and worsen constipation.
Question 5 of 5
A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?
Correct Answer: B
Rationale:
Correct
Answer: B - Advance directives can be signed without legal representation.
Rationale: Advance directives do not require legal representation to be valid. They are legal documents that outline a person's healthcare wishes in case they are unable to communicate. These documents can be completed by the individual themselves, without the need for a lawyer. By choosing option B, the nurse can provide accurate information and alleviate the client's concerns about the cost of legal representation.
Incorrect
Choices:
A: Initiating medical care without advance directives may not align with the client's wishes.
C: Verbal agreements are not legally binding for advance directives.
D: While a social worker can provide resources, legal representation may not be necessary for advance directives.