Questions 169

ATI RN

ATI RN Test Bank

RN Comprehensive Predictor 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions should the nurse take?

Correct Answer: D

Rationale: Contact precautions for C. difficile require the nurse to remove the protective gown and gloves inside the client's room to prevent contamination of outside areas.

Question 2 of 5

A nurse is assessing a client who is receiving IV vancomycin. Which of the following findings indicates an adverse reaction?

Correct Answer: B

Rationale: Redness and itching at the IV site may indicate an allergic reaction or infusion reaction, requiring immediate attention.

Question 3 of 5

A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?

Correct Answer: A

Rationale: The anterior fontanel remains open until about 12-18 months of age, which is expected for an 8-month-old infant.

Question 4 of 5

A nurse is caring for a client who has a new diagnosis of epilepsy and is prescribed phenytoin. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Phenytoin can cause gingival hyperplasia; gentle brushing helps prevent gum damage.

Question 5 of 5

A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which of the following findings as a potential contraindication for using lavender?

Correct Answer: B

Rationale: Lavender oil, especially in aromatherapy, can trigger respiratory issues in some individuals, particularly those with asthma.

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