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Questions 48

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ATI RN Test Bank

ATI Msn De5320 Fundamentals Exam Questions

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Question
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1 of 5

A nurse is preparing to provide preoperative teaching for a client. Which of the following actions should the nurse plan to take?

Correct Answer: A,D

Rationale: Material at an eighth-grade reading level ensures accessibility, and starting with critical information prioritizes key details. Television is distracting, and technical language may confuse clients.

Question 2 of 5

Which of the following is essential when restraints are applied to a client?

Correct Answer: B

Rationale: Assessing circulation and neurological integrity every 2 hours prevents restraint-related injuries. Square knots are hard to release, side rails risk entrapment, and 12-hour checks are too infrequent.

Question 3 of 5

A nurse is providing care to a client that has been having pain without a clear etiology. Which nursing diagnosis should the nurse write as most appropriate for this client?

Correct Answer: C

Rationale: ‘Acute pain related to unknown etiology’ accurately reflects the pain’s unclear cause, guiding further assessment. Option A lacks etiology, B assumes a psychosomatic cause without evidence, and D is less precise than ‘etiology.’

Question 4 of 5

A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Correct Answer: A,B,C

Rationale: Anorexia nervosa causes lanugo (fine hair) from low body fat, cold extremities from poor circulation, and hypotension from malnutrition.
Tooth erosion is linked to bulimia, and constipation, not diarrhea, is typical.

Question 5 of 5

A nurse is teaching a client how to check their radial pulse. Which of the following methods uses the psychomotor domain of learning?

Correct Answer: B

Rationale: Observing the client check their pulse assesses psychomotor skills (physical performance). Reviewing steps, discussing purpose, and sharing ranges are cognitive learning methods.

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