Questions 60

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ATI RN Fundamentals 2023 II Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

Correct Answer: B

Rationale: Trochanter rolls (
B) prevent hip rotation. Crossing ankles (
A) risks pressure, arms cross chest (
C), logrolling (
D) is for spinal issues.

Question 2 of 5

A nurse identifies a small fire in a client's room. After moving the client to safety, which of the following is the next action the nurse should take?

Correct Answer: B

Rationale: Activating alarm (
B) alerts others per RACE protocol.
Towels (
A), extinguisher (
C), and equipment (
D) follow.

Question 3 of 5

A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer: D

Rationale: Analgesic 30-60 min prior (D, adjusted timing) reduces pain. Syringe alone (not catheter,
A), room-temp solution (not cold,
B), and new gloves (not one pair,
C) are correct.

Extract:

Exibit 1
Medical History
0800:
Client has a history of hyperlipidemia, rheumatoid arthritis, and hypertension. Client has a BMI of 32.
Client has a family history of colon cancer.
Exibit 2

Cholestrol 250mg/Dl (Less than 200mg/Dl) Fasting glucose 100mg/dL (70 to 110mg/Dl)


Question 4 of 5

A nurse is caring for a client. Which of the following findings from the client’s history places the client at risk for heart disease? (Select all that apply.)

Correct Answer: A,C,D,F

Rationale: Hypertension (
A), high cholesterol (
C), hyperlipidemia (
D), and family history (F) increase heart disease risk. RA (
B) indirect, glucose (E) diabetes-related.

Extract:


Question 5 of 5

A nurse is providing discharge teaching about safety considerations to an older adult client who lives at home. The client has heart failure and a new prescription for hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Bathroom light (
D) prevents falls with diuretic nocturia. Hot baths (
A) risk dehydration, weekly weighing (
B) is infrequent, evening dosing (
C) increases fall risk.

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