ATI RN
ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is at the end of life. Vital Signs: Temperature 38.5°C (101.3°F), Blood pressure 76/46 mm Hg, Heart rate 112/min, Respiratory rate 34/min, irregular, Pulse oximetry 84% on 40% humidified face mask. Which of the following 3 actions should the nurse plan to take?
Correct Answer: B,C,D
Rationale: Turning the client on their side prevents aspiration, a fan eases breathing discomfort, and opioids manage pain and dyspnea. Informing the client about others in the room is irrelevant, and deep suctioning causes distress without benefit.
Question 2 of 5
The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?
Correct Answer: B
Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.
Question 3 of 5
A nurse is teaching a newly licensed nurse about palliative care. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Palliative care focuses on symptom relief and quality of life for serious illnesses, not just terminal cases, and can be provided alongside curative treatments. It is not limited to healthcare facilities and can occur at home or in clinics. Prolonging life is not the primary goal, and it complements, not avoids, curative care.
Question 4 of 5
A nurse is preparing a teaching plan for a client who is learning to walk with a cane. The nurse should identify that which of the following actions is a evaluation step of the teaching plan?
Correct Answer: A
Rationale: Evaluation assesses skill mastery, achieved by observing the client demonstrate cane use. Showing a video or setting goals is teaching/planning, and readiness is an initial assessment.
Question 5 of 5
A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.