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 is receiving mechanical ventilation. Which of the following actions should the nurse take to prevent ventilator-associated pneumonia?

Correct Answer: A

Rationale: Oral care every 4 hours reduces bacterial growth in the oral cavity, decreasing the risk of pneumonia.

Question 2 of 5

A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings indicates a possible transfusion reaction?

Correct Answer: B

Rationale: Flushing and pruritus are signs of a possible allergic transfusion reaction, requiring immediate intervention.

Question 3 of 5

A nurse is assessing a client who is postoperative following a lumbar laminectomy. Which of the following findings should the nurse report immediately?

Correct Answer: C

Rationale: Numbness in the lower extremities may indicate nerve compression or hematoma, requiring immediate reporting.

Question 4 of 5

A nurse is teaching a newly licensed nurse about caring for clients in the emergency department. Which of the following actions should the nurse include when teaching about interacting with a client who is aggravated, pacing, and speaking loudly?

Correct Answer: A

Rationale: Verbal de-escalation by acknowledging the client's emotions helps to diffuse tension and can prevent further agitation.

Question 5 of 5

A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following findings should the nurse report to the provider?

Correct Answer: C

Rationale: A temperature of 38.7°C suggests infection, requiring immediate reporting.

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