ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?
Correct Answer: B
Rationale: The correct answer is B: Droplet precautions. Pharyngeal diphtheria is primarily spread through respiratory droplets. Droplet precautions involve wearing a mask to prevent the spread of droplets when in close contact with the client. Contact precautions are used for diseases transmitted by direct physical contact. Airborne precautions are for diseases spread through tiny particles that remain suspended in the air. Protective precautions are not specific to any particular mode of transmission.
Question 2 of 5
A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
Correct Answer: D
Rationale: The correct answer is D: Having interdisciplinary team meetings for the client on a regular basis. This option promotes communication among staff by allowing different healthcare professionals involved in the client's care to come together, discuss the client's progress, share information, and collaborate on the treatment plan. This ensures that all team members are updated on the client's condition, goals, and interventions, leading to coordinated and effective care. Posting swallowing precautions (
A) is important but does not directly address communication among staff. Noting changes in the treatment plan in the client's medical record (
B) and recording the client's progress in the nurses' notes (
C) are essential documentation practices but do not actively facilitate communication among staff.
Question 3 of 5
nurse is auscultating for crackles on a client who has pneumonia. Which of the following anterior chest wall locations should the nurse auscultate? (You will find hot spots to select in the artwork belowi. Select only the hot spot that corresponds to your answer.)
Correct Answer:
Rationale:
Correct Answer: D
Rationale:
1. Crackles are typically heard in the lower lung fields where fluid accumulates in pneumonia.
2. Anterior chest wall location D corresponds to the lower lung fields where crackles are most likely to be heard.
3. By auscultating at location D, the nurse can accurately assess for crackles in the affected area.
Summary:
- A, B, and C are incorrect as they are higher on the chest wall and not where crackles are typically heard in pneumonia.
- E, F, and G are not valid choices as they do not correspond to any specific lung fields for auscultation in pneumonia.
Question 4 of 5
A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: Hypertension. Hypertension is a contraindication to combination oral contraceptive use due to the increased risk of cardiovascular complications. Elevated blood pressure can be exacerbated by the estrogen in the contraceptives, leading to serious health issues.
B: Fibromyalgia, C: Renal calculi, and D: Fibrocystic breast disease are not contraindications to combination oral contraceptive use. These conditions do not pose a significant risk when using oral contraceptives.
In summary, hypertension is a crucial contraindication due to the potential cardiovascular risks, whereas fibromyalgia, renal calculi, and fibrocystic breast disease do not impact the safety of using combination oral contraceptives.
Question 5 of 5
The nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe? Select all that apply.
Correct Answer: A, B, D
Rationale: The correct answer is A, B, and D. The nurse should anticipate the provider to prescribe these interventions because they are commonly recommended for clients with conditions such as obesity and hypertension. Limiting alcohol intake to 0 oz per day can help improve overall health and prevent worsening of conditions. Keeping daily fat intake to less than 35% is beneficial for managing weight and cardiovascular health. Administering an antihypertensive medication is crucial for controlling blood pressure in hypertensive clients.
Choices C and E are incorrect as prescribing anti-obesity medications is not always the first-line treatment and limiting foods high in potassium may not be necessary unless the client has specific medical conditions.