ATI RN
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ATI Msn De5320 Fundamentals Exam Questions
Extract:
Question
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1 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’ precisely addresses the unclear cause, supporting further investigation. Option A omits etiology, B assumes psychosomatic origins, and D is less specific.
Question 2 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 3 of 5
The client has been admitted and placed on fall precautions. The nurse explains to the patient that interventions for the precautions include:
Correct Answer: A,C,E
Rationale: A fall-risk armband alerts staff, a low bed reduces injury risk, and an accessible call light enables assistance requests. Checking once per shift is insufficient, and four side rails may cause entrapment.
Question 4 of 5
A nurse is teaching a class about stress. The nurse should include that which of the following is an example of chronic stress?
Correct Answer: C
Rationale: Living in poverty is chronic stress, involving ongoing financial and social strain. Crime, accidents, and loss are acute stressors with defined timelines.
Question 5 of 5
The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?
Correct Answer: B
Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.