ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Obtaining a sputum culture helps identify the causative organism and guide treatment.
Question 2 of 5
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
Correct Answer: B
Rationale: Impaired tissue perfusion is the priority due to poor blood flow causing ulcerations and edema.
Question 3 of 5
A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck, and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?
Correct Answer: A
Rationale: Airway obstruction is the immediate life-threatening risk due to swelling.
Question 4 of 5
A charge nurse is teaching a group of healthcare workers about hand hygiene to prevent infection. Which of the following information should the charge nurse include in the teaching?
Correct Answer: B
Rationale: Chlorhexidine is recommended for hand hygiene when caring for immunosuppressed clients as it has broad-spectrum antimicrobial activity. Alcohol-based hand rubs can irritate eyes, are ineffective against Clostridium difficile, and artificial nails harbor pathogens.
Question 5 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?
Correct Answer: A
Rationale: Checking the catheter tubing for kinks or twisting prevents urinary stasis, reducing infection risk.