ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: D
Rationale: Tuberculosis is spread via airborne droplet nuclei, requiring airborne precautions (e.g., N95 mask, negative-pressure room). Contact, protective, droplet, and standard precautions alone are inappropriate for TB.
Question 2 of 5
A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Writing down the complete prescription first ensures accuracy and prevents errors. Reading back, documenting, and obtaining a signature follow to confirm and formalize the order. Verifying allergies is important but occurs after receiving the prescription.
Question 3 of 5
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?
Correct Answer: C
Rationale: Emptying the reservoir is the appropriate action because a Jackson-Pratt drain works by creating suction when the bulb is squeezed and emptied. The bulb should be emptied before it is more than half full to prevent complications such as hematoma formation, infection, drain occlusion, and delayed wound healing. Leaving it until the end of the shift risks these complications. Removing the drain without a surgeon's order could disrupt healing, and notifying the surgeon is not necessary unless there are signs of excessive bleeding (e.g., bright red blood, clots, or drainage >100 ml in 24 hours). Applying pressure to the drain site is incorrect as it does not address the reservoir’s function and could disrupt the drain’s placement.
Question 4 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Placing the client in a private room prevents MRSA spread, as it requires contact precautions. An N95 mask is not needed, gloves are removed before the gown, and visitors do not need masks unless specified. Alcohol-based hand sanitizer is less effective against MRSA; soap and water are preferred.
Question 5 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: Recommending a same-gender interpreter respects cultural sensitivities and enhances comfort, ensuring effective communication. Nodding alone does not confirm understanding, medical terminology may confuse, and questions should be directed to the client via the interpreter. Written translations may not suffice for verbal consent discussions.