ATI RN
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ATI Msn De5320 Fundamentals Exam Questions
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Question
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1 of 5
A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?
Correct Answer: D
Rationale: PTSD causes long-term flashbacks post-trauma, matching a year-long duration. ASD is short-term, episodic acute stress isn’t a diagnosis, and IBS is unrelated to psychological trauma.
Question 2 of 5
Which of the following is essential when restraints are applied to a client?
Correct Answer: B
Rationale: Assessing circulation and neurological integrity every 2 hours prevents restraint-related injuries. Square knots are hard to release, side rails risk entrapment, and 12-hour checks are too infrequent.
Question 3 of 5
Which nursing action would be appropriate to protect a patient during a seizure?
Correct Answer: A,B,D,E
Rationale: Padding the head, avoiding oral objects, turning to the side, and using pillows prevent injury and aspiration. Moving to bed during a seizure risks harm.
Question 4 of 5
A nurse obtained a telephone order from a primary care provider for a patient in pain. Which chart entry should the nurse document?
Correct Answer: C
Rationale: The correct entry includes the accurate date, medication, dosage, frequency, reason, telephone order notation (TO), provider’s name, nurse’s initials, and read-back confirmation for accuracy. Option A uses an invalid abbreviation (TOJ), B lacks read-back, and D incorrectly uses VO (verbal order).
Question 5 of 5
A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room; room 212 is a semi-private, positive-pressure airflow room; 214 is a negative-pressure, semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?
Correct Answer: D
Rationale: A private, negative-pressure room (208) is ideal for suspected tuberculosis, preventing airborne pathogen spread. Semi-private rooms (214, 212) risk infecting others, and positive-pressure rooms (212, 216) are unsuitable for airborne infections.