Questions 48

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ATI Msn De5320 Fundamentals Exam Questions

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Question 1 of 5

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

Correct Answer: A

Rationale: Orthostatic hypotension causes dizziness upon standing, increasing fall risk. It’s defined by a systolic drop ≥20 mm Hg or diastolic ≥10 mm Hg, not 10 mm Hg systolic or 5 mm Hg diastolic. It’s unrelated to pulmonary emboli.

Question 2 of 5

Which nursing action would be appropriate to protect a patient during a seizure?

Correct Answer: A,B,D,E

Rationale: Padding the head, avoiding oral objects, turning to the side, and using pillows prevent injury and aspiration. Moving to bed during a seizure risks harm.

Question 3 of 5

A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing?

Correct Answer: C

Rationale: Return demonstration involves the client performing a skill post-instruction, allowing skill assessment. Question-and-answer tests knowledge, role-play simulates scenarios, and discussion is verbal.

Question 4 of 5

A charge nurse is planning a room assignment for a client who has a productive cough, a questionable chest x-ray, and a positive Mantoux test. Room 208 is a private, negative-pressure airflow room; room 212 is a semi-private, positive-pressure airflow room; 214 is a negative-pressure, semi-private room; and room 216 is a private, positive-pressure airflow room. To which of the following rooms should the nurse assign the client?

Correct Answer: D

Rationale: A private, negative-pressure room (208) is ideal for suspected tuberculosis, preventing airborne pathogen spread. Semi-private rooms (214, 212) risk infecting others, and positive-pressure rooms (212, 216) are unsuitable for airborne infections.

Question 5 of 5

A nurse is caring for a client who reports experiencing flashbacks of a traumatic event that occurred a year ago. The nurse should identify that the client is experiencing which of the following stress-related disorders?

Correct Answer: D

Rationale: PTSD causes long-term flashbacks post-trauma, matching a year-long duration. ASD is short-term, episodic acute stress isn’t a diagnosis, and IBS is unrelated to psychological trauma.

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