ATI RN
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ATI RN Fundamentals 2019 II Questions
Extract:
Question
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1 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Visitors wearing gowns protects the immunocompromised client from infections. Negative-airflow (
A) is for airborne infections semi-private rooms (
B) increase infection risk and masks (
D) are insufficient outside the room.
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?
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 discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: A
Rationale: Dilated pupils occur in the alarm stage due to sympathetic activation. Exhaustion (
B) and depression (
D) occur in the exhaustion stage and bradycardia (
C) in the resistance stage.
Question 4 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Identifying body image impact assesses emotional needs first. Encouraging dressing changes (
B) or providing a mirror (
D) may be premature and support groups (
C) are secondary.
Question 5 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Providing written information is required by the Patient Self-Determination Act. Providers don’t sign directives (
A) partners don’t need to be present (
B) and signing is voluntary (
D).