ATI Custom Fundamentals Final Exam Fall 2023 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Infection. A cool and taut catheter site in a client receiving IV therapy may indicate an infection. Infections can cause localized inflammation and result in the catheter site feeling cool and taut. The nurse should assess for other signs of infection such as redness, pain, swelling, and warmth at the site. IV fluid leaking would more likely indicate infiltration (choice
D) rather than infection. Phlebitis (choice
B) refers to inflammation of the vein, typically presenting with redness and tenderness along the vein. Circulatory overload (choice E) would manifest with symptoms such as shortness of breath and increased blood pressure, not a cool and taut catheter site.

Correct Answer: B

Rationale: The correct answer is B: Professional expectations are included in the COE. The Code of Ethics (COE) is a set of principles that guide ethical behavior and decision-making in nursing practice. Professional expectations, such as maintaining patient confidentiality, promoting patient autonomy, and advocating for patient rights, are fundamental components of the COE. By emphasizing this statement, the nurse reinforces the importance of upholding ethical standards in nursing practice.

Incorrect

Choices:
A: The use of social media is not included in the COE - This statement is incorrect as the COE may address the appropriate use of social media in maintaining patient confidentiality and professionalism.
C: Student nurses are not held accountable to COE - This statement is incorrect as student nurses are also expected to adhere to the ethical principles outlined in the COE.
D: Criteria for obtaining licensure is included in the COE - This statement is incorrect as the COE typically focuses on ethical principles rather than licensure requirements.

Correct Answer: A

Rationale: The correct answer is A: The ACA reduces disparities in health care. The nurse should include this information because the ACA aims to improve access to healthcare services for all individuals, including marginalized populations, thus reducing disparities.
Choice B is incorrect as the ACA is not solely for individuals requiring tertiary care but for all individuals.
Choice C is incorrect as individuals do not need to qualify to participate in ACA insurance coverage; it is available to all.
Choice D is incorrect as the ACA specifically prohibits insurance companies from denying coverage to individuals with pre-existing conditions.

Correct Answer: B

Rationale: The correct answer is B: Therapeutic massage. Phlebitis involves inflammation of veins, and therapeutic massage can potentially dislodge a blood clot or worsen the condition. Yoga (
A) and acupressure (
C) are generally safe as long as they do not put pressure directly on the affected leg. The other choices are not provided, but it is essential to avoid any form of massage directly on the affected area to prevent complications.

Correct Answer: D

Rationale: The correct answer is D: Tell the client to blow her nose gently before the instillation. This step helps to clear any excess mucus or debris from the nasal passages, allowing the decongestant drops to be more effective. Assisting the client to a side-lying position (
A) is not necessary for nasal decongestant administration. Holding the dropper 2 cm above the naris (
B) could lead to inaccurate dosing. Instructing the client to stay in the same position for 2 min (
C) is not required for nasal decongestant drops.