Questions 67

ATI RN

ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse is documenting information in a computerized health record. Which of the following nursing actions kindizes client confidentiality?

Correct Answer: B

Rationale: Sharing passwords (
B) breaches confidentiality by allowing unauthorized access.

Choices A C and D enhance confidentiality.

Extract:

A nurse is caring for a client.

Nurses' Notes

Day 1:

1300:

Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury to dorsal lateral aspect of left heal; wound bed red, moist, approximated edges; surrounding skin inflamed, red,, non-tender to palpation. Client reports pain score of 0 on 0 to 10 pain scale. Pedal pulse left foot 1+, unable to assess capillary refill due to toe fungus bilaterally, Pedal pulse right foot 2+. Wound care as prescribed; heel floated on pillow.

Medical History

Day 1:

Diabetes mellitus Hyperlipidemia

Labs

Day 1

Hct 38% (37% to 47%)

Hgb 13 (12 g/dL to 16 g/dL)

WBC 11,500/mm3 (5000 to 10,000/mm3)

Potassium 3.6 mEq/L (3.5 mEq/L to 5 mEq/L)

Pre-albumin level 10 mg/dL (15 to 36 mg/dL)

Albumin: 3.0 g/dL (3.5 to 5 g/dL)

Fingerstick blood glucose, fasting 186 mg/dL (74 to 106 mg/dL)


Question 2 of 5

Select the 5 findings that can cause delayed wound healing.

Correct Answer: B,C,D,E,F

Rationale: Low prealbumin (
B) diabetes (
C) hyperlipidemia (
D) wound infection (E) and decreased perfusion (F) impair healing by affecting nutrition blood flow and immune response.

Choices A and G are not direct causes.

Extract:


Question 3 of 5

A nurse is documenting information in a computerized health record. Which of the following nursing actions kindizes client confidentiality?

Correct Answer: B

Rationale: Sharing passwords (
B) breaches confidentiality by allowing unauthorized access.

Choices A C and D enhance confidentiality.

Question 4 of 5

A nurse is caring for a client who requires isolation for active pulmonary tuberculosis. Which of the following precautions should the nurse include when creating a sign to post outside of the client's room?

Correct Answer: A,B,D,E

Rationale: Wearing a mask (
A) gown (
B) gloves (
D) and washing hands (E) are essential for tuberculosis precautions to prevent airborne and contact transmission.
Choice C is unrelated to TB precautions and
Choice F is irrelevant as TB does not involve radiation.

Question 5 of 5

A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary task performance roles that members of the group or the leader must perform?

Correct Answer: A,C,D

Rationale: Coordinator (
A) evaluator (
C) and energizer (
D) are essential for task performance. Self-confessor (
B) is interpersonal not task-focused.

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