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 who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cleansing the stoma with saline prevents irritation and infection. Cotton applicators (
A) risk mucosal damage tap water (
C) introduces contaminants and ties should allow two fingers (
D) to avoid pressure.
Question 2 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Unplugging the pump first ensures safety by eliminating electrical hazards. Labeling (
B) replacing (
C) and notifying (
D) follow after securing safety.
Question 3 of 5
A nurse is caring for a client who is postoperative and asks the nurse "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Informing the provider facilitates communication and addresses the client’s need for information. Assuring provider availability (
A) dismisses concerns praising the provider (
B) avoids the issue and stating discharge readiness (
D) disempowers the client.
Question 4 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A same-gender interpreter reduces discomfort for sensitive procedures. Medical terminology (
A) confuses addressing the interpreter (
C) disrespects the client and nodding (
D) is unreliable for comprehension.
Question 5 of 5
A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A sponge bath with alcohol-water solution promotes heat loss via evaporation. Blankets reduce cooling blanket efficacy (
A) heavy blankets trap heat (
B) and ice packs (
D) cause vasoconstriction hindering cooling.