ATI RN Fundamentals Updated 2023 Exam | Nurselytic

Questions 55

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ATI RN Fundamentals Updated 2023 Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Recommend an interpreter who is the same gender as the client. This is important for cultural sensitivity and to help the client feel more comfortable and at ease during the consent process. It ensures effective communication and understanding between the nurse, client, and interpreter. Using medical terminology (choice
A) may result in confusion for a client who does not speak the language. Addressing all questions to the interpreter (choice
C) may bypass direct communication with the client, leading to potential misunderstandings. Having the client nod to indicate understanding (choice
D) may not guarantee comprehension of the information.

Question 2 of 5

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)

Correct Answer: B,C,E

Rationale: The correct equipment to place at the client's bedside for seizure precautions includes oral suction equipment (
B) to clear secretions, supplemental oxygen supplies (
C) to support oxygenation during and after a seizure, and an oral airway (E) to maintain a patent airway and prevent aspiration. Limb restraints (
A) are not recommended as they can increase the risk of injury during a seizure. A blood glucose monitor (
D) is not directly related to seizure precautions.

Question 3 of 5

A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: Your visitors will need to wear protective gowns. This is important because patients undergoing allogeneic stem cell transplant have weakened immune systems and are at a high risk of infection. Visitors can introduce harmful pathogens, hence the need for protective gowns.
Incorrect answers:
A: Negative-airflow rooms are used for patients with airborne infections, not specifically for stem cell transplant recipients.
B: Semi-private rooms may increase the risk of exposure to pathogens from other patients.
D: The patient, not the nurse, should wear a mask when outside the room to protect themselves.
In summary, choice C is correct as it directly addresses the need to protect the patient from potential infections brought in by visitors.

Question 4 of 5

A nurse is preparing a medication from a vial for a subcutaneous injection for a client. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Hold the syringe so that bubbles collect at the level of the plunger. This is important to prevent air bubbles from being injected into the client, as they can cause harm. By holding the syringe in a way that allows any air bubbles to collect at the top near the plunger, the nurse can easily push them out before administering the medication.


Choice A is incorrect because injecting air into the vial with the needle immersed in the fluid can introduce air bubbles into the vial.
Choice B is incorrect as holding the syringe at a 45° angle does not specifically address the issue of air bubbles.
Choice D is incorrect as holding the vial with the top facing upward while injecting air can lead to air bubbles being pushed into the vial instead of out.

Question 5 of 5

A nurse is caring for a client who is postoperative and asks the nurse, 'When will I get to go home? I'm not sure what happens next.' Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Inform the provider that the client is requesting information about his treatment plan. This is the best course of action as it ensures the client's concerns are communicated directly to the provider, who can then address the client's questions and provide necessary information.
Choice A is incorrect because it delays the client's access to important information by relying on the provider's availability.
Choice B is incorrect as it does not address the client's immediate need for information.
Choice D is incorrect because it assumes the provider's decision-making without involving the client or providing clarity.

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