ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min. This is important because high flow rates can lead to oxygen toxicity. Nasal cannula at 6 L/min is a common practice to ensure adequate oxygen delivery without causing harm.
Choice A is incorrect because the ball inside the flow meter is not used to regulate oxygen flow.
Choice C is incorrect as the reservoir bag of a partial rebreathing mask should be inflated to ensure adequate oxygen supply.
Choice D is incorrect because petroleum jelly should not be used near oxygen equipment due to flammability risks.
Question 2 of 5
A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies?
Correct Answer: A
Rationale: The correct answer is A: Biofeedback. Biofeedback involves monitoring bodily functions to gain control over normally involuntary processes. In the case of herpes zoster, the skin lesions and pain may interfere with the accuracy and effectiveness of biofeedback techniques. Herbal remedies (
C) can be used cautiously, aloe (
B) can provide soothing effects, and acupuncture (
D) can help manage pain in herpes zoster. However, biofeedback may not be suitable due to the discomfort and sensitivity associated with the condition.
Question 3 of 5
A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Hematuria. Acute glomerulonephritis is characterized by inflammation of the glomeruli in the kidneys, leading to blood in the urine (hematuria). This occurs due to the damaged glomerular filtration membrane allowing red blood cells to leak into the urine. Oliguria is not typically seen in acute glomerulonephritis as the kidneys are still able to produce urine, albeit with blood in it. Hypotension is not a common finding as glomerulonephritis often presents with hypertension due to fluid retention. Weight loss (
Choice
C) is unlikely since fluid retention is more common. Hematuria (
Choice
D) is the hallmark sign of acute glomerulonephritis due to the inflammation and damage to the glomeruli.
Question 4 of 5
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Instruct the client to avoid coughing during the procedure. This is important to prevent complications such as puncturing surrounding structures. Coughing can increase pressure in the thoracic cavity, making the procedure more difficult and increasing the risk of injury. Positioning the client on the affected side (
A) is not necessary and may not be comfortable for the client. Keeping the client NPO for 6 hr prior to the procedure (
C) is not typically required for a thoracentesis. Placing the client in the prone position (
D) during the procedure is incorrect as the procedure is usually performed with the client sitting upright or slightly leaning forward.
Question 5 of 5
A nurse is planning teaching for a client and their family about home oxygen therapy. Which of the following information should the nurse plan to include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Avoid using nail polish remover around the client. This is important because nail polish remover contains acetone, which is highly flammable and should be kept away from oxygen sources to prevent fire hazards. Applying petroleum jelly to soothe mucous membranes is not relevant to home oxygen therapy. Using synthetic fabrics for bedding does not directly relate to oxygen therapy. Cleaning equipment with alcohol-based products (
Choice
C) can be dangerous as alcohol is flammable.
Therefore, it is important for the nurse to emphasize the importance of avoiding nail polish remover to ensure the safety of the client receiving home oxygen therapy.