Questions 65

ATI RN

ATI RN Test Bank

ATI RN Fundamentals 2019 with NGN Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who is concerned about her tobacco smoking habits and is in the contemplation stage of health behavior change. Which of the following actions should the nurse plan to take during this stage?

Correct Answer: D

Rationale: In the contemplation stage, the client is considering change but not yet ready to act. Presenting information about the benefits of quitting smoking helps motivate the client by highlighting positive outcomes, such as reduced heart attack risk and improved lung function. Developing a plan, recommending changes, or setting goals are more appropriate for later stages (preparation or action). Providing nicotine replacement therapy is premature without a plan.

Question 2 of 5

A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, 'I trust my doctor, but I don't understand what is meant by resecting my intestines.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Notifying the provider ensures the client receives clarification from the responsible clinician, ensuring informed consent. Brochures may not suffice, an incident report is inappropriate, the nurse should not explain the procedure, and a family meeting is unrelated to consent clarification.

Extract:

Diagnostic Results Day 3: - Negative: purified protein derivative (PPD) test - Negative: QuantiFERON-TB Gold test A nurse is caring for a client.


Question 3 of 5

Exhibits What are the first two actions the nurse should take?

Correct Answer: C

Rationale: With negative TB tests, the nurse should review the client’s medical history and reassess symptoms to identify other potential causes (e.g., pneumonia, cancer). Initiating TB treatment, repeating tests, TB education, or ordering a CT scan are inappropriate without further assessment. Tuberculosis Symptoms

Extract:


Question 4 of 5

A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Applying a bath blanket between the client and a cooling blanket regulates temperature comfortably. Ice packs risk localized cold injury, alcohol-water baths are outdated and unsafe, and heavy blankets can increase fever. Antibiotics are inappropriate without evidence of bacterial infection.

Question 5 of 5

A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?

Correct Answer: C

Rationale: The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This is a correct statement. The higher the score, the lower the pressure injury risk, each element ranges from 1 to 4 (except friction/shear, 1 to 3), and age is not a measured element. The scale is used for all clients at risk, not only immobile ones.

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