ATI RN Fundamentals Updated 2023 Exam | Nurselytic

Questions 55

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ATI RN Fundamentals Updated 2023 Exam Questions

Extract:


Question 1 of 5

A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?

Correct Answer: D

Rationale: The correct answer is D. Assigning the task of assisting with ambulation for a client who has a pulmonary infection to an assistive personnel is appropriate because it is a routine activity that does not require specialized nursing knowledge or skills. Ambulation is a basic care task that can be safely performed by assistive personnel under the supervision of a nurse. It helps promote mobility and prevent complications in clients with pulmonary infections.



Choices A, B, and C involve more complex and skilled nursing interventions that require assessment, critical thinking, and nursing judgment. Inserting a suppository, teaching how to use an incentive spirometer, and irrigating a wound all require specialized nursing knowledge and skills.
Therefore, they should not be assigned to assistive personnel.

In summary, assigning tasks that are routine and do not require nursing judgment to assistive personnel helps optimize nursing resources and promote safe and efficient care delivery.

Question 2 of 5

A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?

Correct Answer: B

Rationale: The correct answer is B: Plain yogurt. Full liquid diet includes foods that are liquid at room temperature or can be easily changed to a liquid form. Plain yogurt fits this criteria as it is a smooth, easily digestible food suitable for a full liquid diet. Oatmeal (
A) and scrambled eggs (
C) are not considered full liquids as they are solid foods. Applesauce (
D) is a soft food but may not be suitable for a full liquid diet due to its thickness.

Question 3 of 5

A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: The correct answer is B: Recommend an interpreter who is the same gender as the client. This is important for cultural sensitivity and to help the client feel more comfortable and at ease during the consent process. It ensures effective communication and understanding between the nurse, client, and interpreter. Using medical terminology (choice
A) may result in confusion for a client who does not speak the language. Addressing all questions to the interpreter (choice
C) may bypass direct communication with the client, leading to potential misunderstandings. Having the client nod to indicate understanding (choice
D) may not guarantee comprehension of the information.

Question 4 of 5

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)

Correct Answer: B,C,E

Rationale: The correct equipment to place at the client's bedside for seizure precautions includes oral suction equipment (
B) to clear secretions, supplemental oxygen supplies (
C) to support oxygenation during and after a seizure, and an oral airway (E) to maintain a patent airway and prevent aspiration. Limb restraints (
A) are not recommended as they can increase the risk of injury during a seizure. A blood glucose monitor (
D) is not directly related to seizure precautions.

Question 5 of 5

A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?

Correct Answer: C

Rationale: The correct answer is C: Your visitors will need to wear protective gowns. This is important because patients undergoing allogeneic stem cell transplant have weakened immune systems and are at a high risk of infection. Visitors can introduce harmful pathogens, hence the need for protective gowns.
Incorrect answers:
A: Negative-airflow rooms are used for patients with airborne infections, not specifically for stem cell transplant recipients.
B: Semi-private rooms may increase the risk of exposure to pathogens from other patients.
D: The patient, not the nurse, should wear a mask when outside the room to protect themselves.
In summary, choice C is correct as it directly addresses the need to protect the patient from potential infections brought in by visitors.

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