ATI RN
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ATI RN Fundamentals Exam 6 Questions
Extract:
Question
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1 of 5
A nurse is initiating seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse make sure is readily available at the client's bedside?
Correct Answer: C
Rationale: Vest restraints are not appropriate for seizure precautions. Restraints are generally not recommended as the primary intervention for seizure management. The use of tongue blades during a seizure is not recommended and could pose a risk of injury. Oxygen setup is crucial for managing a client during and after a seizure to ensure proper oxygenation. Neck brace is not necessary for seizure precautions and may pose a risk during a seizure episode.
Question 2 of 5
A nurse is providing teaching to a client who uses tobacco products. (Move the steps that the nurse should take into the box on the right placing them in the correct order of performance. All steps must be used.)
Correct Answer: D,A,B,C
Rationale: Correct order: D A B C. D. Ask about the type of tobacco product used. A. Teach the client cessation strategies. B. Develop a cessation plan with the client. C. Assist the client in modifying the plan if necessary.
Question 3 of 5
A guard at a prison brings an injured inmate to the facility clinic. The inmate is bleeding and the guard asks the nurse about the inmate's HIV infection status. Which of the following actions by the nurse is appropriate?
Correct Answer: C
Rationale: Having the guard sign a release of information form may not be appropriate in an emergency situation and immediate action is needed to address the injury. Telling the guard to submit an inmate inquiry form to the warden may delay necessary medical intervention in an emergency. Completing an incident report is appropriate to document the situation and the care provided. It is not necessary to disclose the inmate's HIV status in the report. Instructing the guard to ask the inmate is not a proper approach to handling a medical emergency. The nurse should focus on providing immediate care to the injured inmate.
Question 4 of 5
A nurse is providing care for a client who is scheduled for a total laryngectomy. Which of the following is the nurse's priority intervention?
Correct Answer: D
Rationale: Showing the client how to use an artificial larynx is an important aspect of post-laryngectomy care but determining the client's reading ability takes precedence as it will significantly impact communication options. Arranging a support session is important for emotional support but assessing the client's reading ability is more immediate in addressing communication needs. Demonstrating the use of esophageal speech is relevant but understanding the client's reading ability is a priority before exploring communication alternatives.
Question 5 of 5
A 5-year-old client is refusing to let the nurse take his blood pressure. To promote cooperation the nurse should:
Correct Answer: C
Rationale: Telling the child that it will not hurt may not be effective as children may still have anxiety or fear related to the unknown. Forcing a child or having the parent hold tightly may increase anxiety and make the child more resistant to the procedure. Allowing the child to operate the equipment can give the child a sense of control and involvement increasing cooperation. Deferring the procedure until the next visit may not be practical or necessary if alternative strategies can be employed to promote cooperation.