Questions 48

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ATI Msn De5320 Fundamentals Exam Questions

Extract:


Question 1 of 5

A nurse is preparing to transfer a client who has left-sided weakness from a sitting position in bed to a chair. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Locking bed wheels ensures stability during transfer, enhancing safety. A 90° chair angle complicates movement, the chair should be on the strong side, and raising the bed excessively risks unsafe positioning.

Question 2 of 5

A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Soap and water effectively clean the perineum, maintaining hygiene. Using one washcloth section risks contamination, air drying causes irritation, and cleaning from rectum to perineum spreads bacteria.

Question 3 of 5

The nurse is reviewing interventions written for a client. Which of the following the nurse will consider as being independent?

Correct Answer: B

Rationale: Repositioning every 2 hours is an independent nursing action within the nurse’s scope to prevent pressure ulcers, requiring no provider order. Administering medications or starting IV antibiotics are dependent interventions, needing a physician’s prescription.

Question 4 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 5 of 5

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive person?

Correct Answer: B

Rationale: Obtaining a daily weight is a non-invasive, routine task suitable for assistive personnel. Wound care, teaching, and medication administration require nursing judgment and are not delegable.

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