Extract:

Question 1 of 5

A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?

A. Schedule a support session for the client.B. Explain the techniques of esophageal speech.C. Determine the client's reading ability.D. Review the use of an artificial larynx with the client.

Correct Answer: D

Rationale: Reviewing the artificial larynx is the priority as it directly addresses communication post-surgery. Support sessions (
A) esophageal speech (
B) and reading ability (
C) are important but secondary to ensuring communication.

Question 2 of 5

A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?

A. Apply sterile gloves before opening the bottle of sterile solution.B. Place the lid of the sterile solution bottle face down on the sterile drape.C. Hold the bottle of sterile solution so that the label is facing the palm of the hand.D. Pour the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl.

Correct Answer: C

Rationale: Holding the bottle with the label in the palm prevents solution from obscuring it. Gloves are applied after opening (
A) lids go face up (
B) and pouring height is 2.5-5 cm (
D).

Question 3 of 5

A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?

A. Deliver a series of high-pitched sounds at random intervals.B. Hold an activated tuning fork against the client's mastoid process.C. Place an activated tuning fork in the middle of the client's forehead.D. Whisper a series of words softly into one ear.

Correct Answer: C

Rationale: Placing the tuning fork on the forehead assesses sound lateralization for the Weber test. High-pitched sounds (
A) and mastoid placement (
B) are for the Rinne test and whispering (
D) is for the whisper test.

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?

A. Inject air into the vial with the eye of the needle immersed in the fluid.B. Hold the syringe at a 45° angle to verify dosage.C. Hold the syringe so that bubbles collect at the level of the plunger.D. Hold the vial with the top facing upward while injecting air into the vial.

Correct Answer: C

Rationale: Collecting bubbles at the plunger allows expulsion for accurate dosing. Immersing the needle (
A) risks contamination a 90° angle (
B) is correct for dosage and the vial should be top-down (
D) for air injection.

Question 5 of 5

A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply)

A. I need to have a fire escape plan with my family.B. I need to check my medications for expiration dates.C. I need to set my hot water heater to 140 degrees Fahrenheit.D. I will use the grab bars when getting in and out of the bathtub.E. I will apply tape over frayed areas of electrical cords.

Correct Answer: A,B,D

Rationale: Fire escape plans (
A) checking medication expiration (
B) and grab bars (
D) enhance safety. Hot water at 140°F (
C) risks burns and taping cords (E) is unsafe; cords need replacement.

Nurselytic

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ATI RN Fundamentals 2019 II Questions

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Question 1 of 5

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Question 4 of 5

Question 5 of 5

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