ATI RN Fundamentals 2023 | Nurselytic

Correct Answer: A,C

Rationale: The correct answers are A and C. Option A is important as adjusting oxygen flow rate can help ease breathing, ensuring optimal oxygen delivery. Option C advises storing the oxygen cylinder wrench with the tank for easy access in case of emergencies. These two pieces of information are crucial for maintaining proper oxygen therapy and ensuring safety.

Options B, E, F, and G are incorrect. Option B states a specific duration for antibiotic therapy, which may vary depending on the type of infection. Option E relates to steroid medication administration timing, which can vary based on the specific medication and condition. Option F provides general advice on antibiotic administration but may not apply to all antibiotics. Option G implies a specific tapering schedule for steroids, which should be individualized based on the patient's condition and response.

Correct Answer: A

Rationale: The correct answer is A: Prepare the client for surgery. In an emergency situation where the client is unconscious and no one is available to give consent, the nurse must act in the best interest of the client. This includes providing necessary and life-saving treatment without delay. Delaying surgery to wait for consent may jeopardize the client's health and violate the principle of beneficence. Contacting the ethics committee (
B) may cause further delay, and keeping the client stable until a family member arrives (
C) may not be feasible in urgent cases. Obtaining consent from the surgeon (
D) is not ethically appropriate as the surgeon cannot provide consent on behalf of the client.

Correct Answer: A

Rationale: The correct answer is A: Speech-language pathologist. This professional specializes in evaluating and treating swallowing difficulties, known as dysphagia, which is common after a stroke. The speech-language pathologist can assess the client's swallowing function, provide strategies to improve safety during meals, and recommend appropriate diet modifications. The other choices, such as social worker, physical therapist, and occupational therapist, do not have the specific expertise in managing swallowing disorders like a speech-language pathologist does in this scenario.

Correct Answer: A

Rationale: The correct answer is A: Hold bottles of sterile solution with the label in the palm of the hand. This is correct because it ensures that the nurse maintains sterile technique by preventing contamination of the solution. Holding the bottles with the label in the palm of the hand prevents touching the outside of the bottle, which could introduce contaminants.

Choice B is incorrect because pouring liquids into containers outside the sterile field risks contamination.
Choice C is incorrect as the sterile field should be at the level of the nurse's chest to prevent inadvertent contamination.
Choice D is incorrect because opening the outermost flap of the sterile kit toward the body risks contaminating the contents.

Correct Answer: A

Rationale: The correct answer is A: Eyelashes that curl slightly outward. This finding is expected during an eye assessment as it indicates normal eyelash orientation. The eyelashes help protect the eyes from foreign objects.

Choices B, C, and D are incorrect. B is incorrect as the normal blink rate is 15 to 20 times per minute, not 30 to 35. C is incorrect because normal pupil size is 2 to 4 mm in diameter, not 8 to 9 mm. D is incorrect as corneas should be clear, not opaque.