ATI RN
RN-ATI-Fundamentals-of-Nursing-2023-2024 Questions
Extract:
Question 1 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is important for monitoring the client's safety and well-being while in restraints. Documenting the client's condition at regular intervals allows for early detection of any signs of distress or complications. Removing the restraint every 4 hours is incorrect as it may compromise the client's safety. Requesting a PRN restraint prescription for aggressive clients is not recommended as restraints should be used as a last resort. Attaching the restraint to the bed's side rail is unsafe as it restricts the client's movement.
Question 2 of 5
A nurse in a provider's office is caring for a client who asks about using acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment?
Correct Answer: D
Rationale: The correct answer is D: Herpes zoster. Acupuncture involves inserting needles into specific points on the body to alleviate pain. In the case of herpes zoster (shingles), which is a viral infection affecting nerves and causing a painful rash, there is a risk of spreading the infection through the needle insertion sites. This can lead to further complications and worsen the condition.
Therefore, it is a contraindication for receiving acupuncture treatment.
Choice A: Hypertension is not a contraindication for acupuncture. In fact, acupuncture can help with managing hypertension.
Choice B: Obesity is not a contraindication for acupuncture. Acupuncture can be beneficial for weight management and overall health.
Choice C: Hypothyroidism is not a contraindication for acupuncture. Acupuncture can help regulate thyroid function and manage symptoms of hypothyroidism.
Question 3 of 5
A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A: How to operate the portable suction machine. This is important because maintaining a patent airway is crucial for a client with a tracheostomy. Suctioning helps to remove secretions and prevent blockages. Teaching the partner how to operate the suction machine ensures that they can assist in emergencies and daily care.
Choice B (How to secure the tracheostomy tube with ties at the back of the neck) is incorrect because securing the tube is important, but it is typically done by healthcare professionals initially and may not need to be done daily by the partner.
Choice C (How to change the nondisposable tracheostomy tube daily) is incorrect because changing the tracheostomy tube is a sterile procedure that should be done by healthcare professionals, not the partner.
Choice D (How to change the tracheostomy dressing using clean technique) is incorrect because changing the dressing is also typically done by healthcare professionals and requires sterile technique, not just
Question 4 of 5
A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
Correct Answer: B
Rationale: The correct answer is B: Document the client's condition every 15 min. This guideline is important for monitoring the client's safety and well-being while in restraints. Documenting the client's condition at regular intervals allows for early detection of any signs of distress or complications. Removing the restraint every 4 hours is incorrect as it may compromise the client's safety. Requesting a PRN restraint prescription for aggressive clients is not recommended as restraints should be used as a last resort. Attaching the restraint to the bed's side rail is unsafe as it restricts the client's movement.
Extract:
Nurses' Notes
1100: Client reports fever, chills, cough, and night sweats for past 2 weeks. Client has recently traveled outside of the country. Lethargic, but oriented to person, place, and time. Crackles heard in lower lobes of lungs upon auscultation. Cough is productive with small amounts of blood. Reports tightness in chest and pain when coughing. Reports losing 5 Ib in the last week. Has no appetite and is nauseated. Obtained blood work, chest x-ray, and sputum cult
Question 5 of 5
The nurse is placing the client on isolation precautions. Which of the following interventions should the nurse include? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Place a container for soiled linens inside the client's room. This is essential for infection control as it helps prevent the spread of pathogens. Soiled linens can harbor infectious organisms, so having a designated container inside the room reduces the risk of contamination to other areas. Option A is incorrect because an N95 mask is typically not required for standard isolation precautions. Option C is incorrect as negative airflow rooms are usually reserved for clients with airborne infections. Option D is incorrect because the mask should be removed inside the room to prevent contamination.