ATI RN Fundamentals 2023 | Nurselytic

Questions 62

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ATI RN Fundamentals 2023 Questions

Extract:

Medical History
2 days before procedure:
Client takes 80 mg of aspirin PO daily for antiplatelet effects. Client performs moderate intensity exercise for 150 min each week.
Client reports an allergy to latex.
Nurses' Notes
Morning of procedure:
Client reports taking aspirin 80 mg PO this morning with a sip of water.
Diagnostic Results
• Hct 37% (37% to 47%)
• Hgb 12 g/dL (12 to 16 g/dL)
• WBC count 12,000/mm3 (5,000 to 10,000/mm3)
• Prothrombin time 21 seconds (11 to 12.5 seconds)


Question 1 of 5

A nurse is caring for a client who is scheduled for a surgical procedure Exhibits:Select the 4 findings that require immediate follow-up.

Correct Answer: B,C,D,E

Rationale: The correct answer is B, C, D, and E. Hct level, Prothrombin time, WBC count, and Preoperative medication are crucial findings that require immediate follow-up. Hct level assesses blood volume, Prothrombin time evaluates blood clotting ability, WBC count indicates infection risk, and Preoperative medication ensures safety during surgery. Latex allergy (choice
A) is important but not immediate. History of weekly exercise (choice F) is not urgent.

Extract:


Question 2 of 5

A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: The correct answer is C: "I will leave a light on in my bathroom at night." This statement indicates an understanding of safety considerations for an older adult with heart failure taking hydrochlorothiazide. Leaving a light on in the bathroom at night can prevent falls, as older adults are at higher risk due to medication side effects like dizziness from hydrochlorothiazide. Option A is incorrect as regular weight monitoring is crucial for heart failure but should be done more frequently than once weekly. Option B is incorrect as hydrochlorothiazide is typically taken in the morning to avoid frequent urination at night. Option D is incorrect as taking a hot bath before bed can cause dehydration and affect blood pressure, which is not recommended for someone with heart failure.

Question 3 of 5

A nurse is preparing to teach a female client about osteoporosis prevention. Which of the following recommendations should the nurse make for this client?

Correct Answer: B

Rationale: The correct answer is B: Walk for 30 minutes three to five times each week. Walking is a weight-bearing exercise that helps strengthen bones and prevent osteoporosis. Weight-bearing exercises help maintain bone density and reduce the risk of fractures. Walking for 30 minutes, three to five times a week, is a recommended guideline for osteoporosis prevention.


Choice A is incorrect because maintaining lean body mass alone may not be sufficient to prevent osteoporosis.
Choice C is incorrect because increasing vitamin B12 intake does not directly impact bone health.
Choice D is incorrect because while water aerobics can be beneficial for overall fitness, it may not be as effective in preventing osteoporosis as weight-bearing exercises like walking.

Question 4 of 5

A newly licensed nurse has forgotten their password and asks another nurse to access the computer system for them so they can document care before transferring the client to another unit. Which of the following responses should the nurse make?

Correct Answer: C

Rationale: The correct response is C: "I can give you the contact information for someone to assist you with recovering your password." This is the best option because it promotes confidentiality and adheres to ethical standards. It avoids sharing personal login information, which can breach security protocols and potentially result in disciplinary actions. By providing contact information for password recovery assistance, the nurse is directing the colleague towards the appropriate channels for resolving the issue. This approach upholds professionalism and accountability.

Other

Choices:
A: Seeing the supervisor for a temporary password may not be the most efficient or secure method for resolving a forgotten password issue.
B: Providing client information to the charge nurse for documentation is inappropriate and could compromise patient privacy.
D: Allowing another nurse to use one's own password is a violation of security policies and sets a risky precedent for future incidents.

Question 5 of 5

A nurse is admitting a client who is at risk for falls to a medical-surgical unit. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Provide the client with a night light. This is important for fall prevention as it helps the client see the surroundings clearly during nighttime, reducing the risk of tripping or falling. Placing a night light in the client's room promotes safety and enhances visibility, especially during sleep or when getting up at night. Elevating full-length side rails (Option
A) may restrict the client's mobility and independence, increasing the risk of falls. Placing the bedside table away from the bed (Option
B) does not directly address fall prevention. Keeping the room temperature at 18°C (Option
D) is not directly related to fall prevention.

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