Questions 188

ATI RN

ATI RN Test Bank

ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a new diagnosis of breast cancer. The client states, 'I don't understand why this is happening to me.' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Acknowledging the client's feelings and offering to discuss them provides emotional support and encourages coping. Dismissing the concern, trivializing the diagnosis, or redirecting to treatment is dismissive.

Question 2 of 5

A home health nurse is planning care for a client who has Alzheimer's disease. Which of the following actions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Placing locks at the tops of exterior doors prevents wandering, a common and dangerous behavior in Alzheimer's patients, ensuring safety. Zippers versus buttons don't address safety. Hardwood floors may reduce falls but aren't specific to Alzheimer's. Physical activity before bed may disrupt sleep, not enhance safety.

Question 3 of 5

A nurse is caring for a client who has a new diagnosis of breast cancer. The client states, 'I don't understand why this is happening to me.' Which of the following responses should the nurse make?

Correct Answer: A

Rationale: Acknowledging the client's feelings and offering to discuss them provides emotional support and encourages coping. Dismissing the concern, trivializing the diagnosis, or redirecting to treatment is dismissive.

Question 4 of 5

A nurse in a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Wearing a gown during personal hygiene prevents MRSA contact transmission. PPE is removed before leaving, negative air pressure is for airborne infections, and visitors aren't restricted but need PPE education.

Question 5 of 5

A nurse is assisting with the care of a client who is receiving a unit of packed RBCs. Fifteen minutes after starting the transfusion, the client reports itching and hives. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Stopping the transfusion is the first action to prevent worsening of an allergic reaction, indicated by itching and hives. Notifying the provider, administering diphenhydramine, or collecting urine follow after stopping the transfusion.

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