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Questions 48

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ATI RN Test Bank

ATI Msn De5320 Fundamentals Exam Questions

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Question
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1 of 5

A nurse is teaching a client about using a cane for ambulation. Which of the following statements should the nurse make?

Correct Answer: D

Rationale: Moving the unaffected leg first with the cane ensures stability. Advancing 12 inches is impractical, the cane should be on the unaffected side, and stairs require unaffected leg support.

Question 2 of 5

A nurse is teaching a newly licensed nurse about hospice care. Which of the following information should the nurse include?

Correct Answer: C

Rationale: Hospice care is for terminally ill clients (prognosis ≤6 months), focusing on comfort. It can be provided at home, discontinued if conditions improve, and does not aim to prolong life.

Question 3 of 5

A nurse is teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse include?

Correct Answer: C

Rationale: Dilated pupils enhance vision during fight-or-flight, driven by adrenaline. Airways dilate, blood pressure rises, and glucose increases for energy, ruling out other options.

Question 4 of 5

A nurse is preparing to provide preoperative teaching for a client. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: An eighth-grade reading level ensures accessible material for comprehension. Television distracts, technical language confuses, and starting with key information is secondary to material accessibility.

Question 5 of 5

A nurse is caring for a client who has Clostridium difficile (C. difficile). Which of the following actions should the nurse take?

Correct Answer: A

Rationale: C. difficile spores resist alcohol sanitizers, requiring soap and water handwashing for at least 20 seconds. Negative pressure rooms are for airborne infections, 10-second washing is inadequate, and masks are unnecessary as C. difficile spreads via fecal-oral transmission.

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