ATI Fundamentals 2024 Exam -Nurselytic

Questions 51

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RN ATI FUNDAMENTALS 2024 EXAM Questions

Extract:


Question 1 of 5

A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

Correct Answer: A

Rationale: The correct answer is A: Use the complete name of the medication magnesium sulfate. This is important for clarity and to avoid confusion with other medications. Using the full name helps prevent errors in medication administration.
Choice B is incorrect because spacing between the dose and unit is less critical compared to using the full name of the medication.
Choice C is incorrect as insulin dosage should be expressed in units, not as the letter U.
Choice D is incorrect because "SC" stands for subcutaneous and should be used to indicate the route of administration, not for indicating an injection in general.

Question 2 of 5

A nurse is caring for a client who has a terminal illness, and the client's partner indicates effective coping. The nurse should recognize that which of the following statements is an indication of effective coping?

Correct Answer: B

Rationale: The correct answer is B: "I am relying on support from our family during this time." This statement indicates effective coping as it shows the client is utilizing the support system available, which is a healthy way to manage stress and emotions during a difficult time. It demonstrates the client's willingness to seek help and share the burden with loved ones.

Explanation for why other choices are incorrect:
A: "I am not worried because I will have hope that he will be okay." This statement shows denial rather than effective coping.
C: "We can plan our family reunion once he recovers and comes home." This statement indicates avoidance of the reality of the situation.
D: "We don't see any reason to start discussing funeral arrangements right now." This statement shows avoidance of discussing important end-of-life matters.

Question 3 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: D

Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to help relieve pain. However, in the case of herpes zoster, also known as shingles, which is a viral infection affecting the nerves and causing a painful rash, there is a risk of spreading the virus through the insertion of needles. This could potentially worsen the condition and lead to complications.
Therefore, acupuncture is contraindicated for clients with herpes zoster.

A: Biofeedback, B: Aloe, and C: Reflexology are generally considered safe complementary therapies for pain control and do not pose a risk of spreading the virus in the case of herpes zoster. Biofeedback helps individuals learn to control physiological processes, aloe has soothing properties, and reflexology involves applying pressure to specific points on the feet or hands to promote relaxation and pain relief.

Question 4 of 5

A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer: 107

Rationale:
To calculate the infusion rate, divide the total volume to be infused (750mL) by the total time in hours (7 hours). 750mL / 7 hours = 107 mL/hr. This is the correct answer as it determines the rate at which the solution should be administered to ensure the correct dosage is delivered over the specified time. Other choices are incorrect as they do not result from the correct calculation method, which is essential in determining the appropriate infusion rate for the patient.

Question 5 of 5

A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

Correct Answer: A

Rationale: The correct answer is A: Make sure the client's room has at least six air exchanges per hour. This is important for a client post allogeneic stem cell transplant to reduce the risk of exposure to pathogens. The high air exchange rate helps maintain a clean environment and reduce the transmission of infections.


Choice B is incorrect because wearing a mask outside the room does not address the air quality within the client's room.
Choice C is incorrect as negative-pressure airflow rooms are typically used for clients with airborne infections, not for those post stem cell transplant.
Choice D is incorrect as wearing an N95 respirator is not necessary if the room has adequate air exchanges.

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