ATI RN
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ATI RN Fundamentals 2019 II Questions
Extract:
Question
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1 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Identifying body image impact assesses emotional needs first. Encouraging dressing changes (
B) or providing a mirror (
D) may be premature and support groups (
C) are secondary.
Question 2 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 3 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)
Correct Answer: A,B,D
Rationale: Fire escape plans (
A) checking medication expiration (
B) and grab bars (
D) enhance safety. Hot water at 140°F (
C) risks burns and taping cords (E) is unsafe; cords need replacement.
Question 4 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (sensory perception moisture activity mobility nutrition friction/shear). Elements range 1-4 (
A) age isn’t included (
C) and higher scores indicate lower risk (
D).
Question 5 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Identifying body image impact assesses emotional needs first. Encouraging dressing changes (
B) or providing a mirror (
D) may be premature and support groups (
C) are secondary.