ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Correct Answer: B

Rationale:
Correct Answer: B


Rationale: Placing a patient with tuberculosis in a room with negative-pressure airflow is crucial to prevent the spread of infection. Negative-pressure airflow helps to contain and remove airborne pathogens, reducing the risk of transmission to others. This is especially important for patients with airborne infectious diseases like tuberculosis.

Incorrect

Choices:
A: Carrying soiled linens in a mesh bag can lead to the spread of infection as pathogens may escape through the mesh.
C: Providing disposable items for an HIV-positive patient is good practice for reducing cross-contamination but does not directly address airborne infection control.
D: Disposing of blood-saturated dressings in a trash bag is not appropriate as it can lead to exposure to bloodborne pathogens. Double-bagging does not provide adequate protection.

Correct Answer: B

Rationale:
Correct Answer: B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min.


Rationale: Nasal cannula delivers low to moderate levels of supplemental oxygen, typically ranging from 1-6 L/min. Higher flow rates can dry out the nasal passages and increase the risk of oxygen toxicity. This choice aligns with evidence-based practice guidelines for safe oxygen administration.

Incorrect

Choices:
A: Regulating flow rate by aligning with the top of the ball inside the flow meter is not evidence-based and may lead to incorrect oxygen delivery.
C: Keeping the reservoir bag deflated in a partial rebreathing mask is incorrect as the bag should be at least partially inflated to ensure adequate oxygen delivery.
D: Using petroleum jelly to lubricate the patient's nares, face, and lips is not recommended as it can be a fire hazard in the presence of oxygen.

Correct Answer: C

Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.


Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.

Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.

Correct Answer: C,A,D,B

Rationale:
Correct Answer: C, A, D, B


Rationale:
1. Injecting air into the bottle of NPH insulin (
C) prevents a vacuum from forming when you withdraw the dose.
2. Injecting air into the bottle of regular insulin (
A) prevents negative pressure, making it easier to withdraw the dose.
3. Withdraw the correct dose of regular insulin (
D) first to avoid contamination.
4. Withdraw the correct dose of NPH insulin (
B) last as it is a longer-acting insulin, ensuring proper mixing and administration.

Summary:
-
Choice A is incorrect as air should be injected into the NPH insulin bottle first.
-
Choice B is incorrect as NPH insulin should be drawn last.
-
Choice D is incorrect as regular insulin should be drawn before NPH insulin.
-
Choice E, F, and G are not relevant to the correct order of steps.

Correct Answer: A

Rationale: The correct answer is A: Determine the reasons why the client is refusing to use the incentive spirometer. This is the priority action because understanding the client's refusal will help address any underlying issues hindering compliance with treatment, ensuring optimal care. Documenting the refusal (
B) is important but not as immediate as understanding the root cause. Administering pain medication (
C) may be necessary but addressing the refusal first is crucial. The other choices are not relevant to the immediate priority of addressing the client's refusal.