Questions 67

ATI RN

ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min,respiratory rate 24/min BP 132/76 mm Hg and temperature 36.8°C (98.2°F). Which of the following actions should the nurse perform?

Correct Answer: C

Rationale: A neurological check (
C) is priority to assess sudden confusion and drowsiness indicating a potential neurological issue. Other choices are not immediately relevant.

Question 2 of 5

A nurse is caring for a client who requires droplet precautions. Which of the following personal protective equipment should the nurse wear when setting up the client's meal tray?

Correct Answer: C

Rationale: A mask (
C) is required for droplet precautions to protect against respiratory droplets. Other PPE is not typically needed for this task.

Question 3 of 5

A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use?

Correct Answer: C

Rationale: Using a friction-reducing device with two nurses ensures safe and efficient movement for a partially able client reducing friction and strain.
Choice A is unsafe
Choice B is less effective and
Choice D requires more client strength.

Question 4 of 5

A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

Correct Answer: D

Rationale: Conjunctivae (
D) are reliable for assessing cyanosis across skin tones as they are less affected by melanin. Other sites are less accurate in dark skin.

Question 5 of 5

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)?

Correct Answer: A,C,D

Rationale: Assisting ambulation (
A) feeding (
C) and bathing (
D) are within AP scope.

Choices B and E require nurse expertise.

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