ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Correct Answer: D

Rationale: The correct answer is D because the nurse is demonstrating the ethical principle of veracity, which refers to being truthful and honest. In this situation, the nurse responds affirmatively when the client asks if they have cancer, which aligns with the principle of veracity by providing the client with accurate information. This helps the client make informed decisions about their care.


Choice A is incorrect because complying with the client's wishes may not necessarily align with the principle of veracity if the nurse is aware of potential harm to the client by refusing the nasogastric tube.


Choice B is incorrect as not performing CPR despite a DNR order and family requests may be appropriate and align with respecting the client's autonomy, but it does not directly relate to the principle of veracity.


Choice C is incorrect as providing pain medication as promised is related to fidelity (keeping promises) rather than veracity.

In summary, the correct answer is D because it directly involves being truthful and honest with the client, while the

Correct Answer: A

Rationale: The correct answer is A: Auscultate lung sounds. This is the priority assessment when administering fluids as it helps detect fluid overload, a potentially life-threatening adverse effect. Lung sounds can reveal signs of pulmonary edema, such as crackles, indicating fluid accumulation in the lungs. Monitoring urine output (
B) is important but not as immediate as assessing for respiratory distress. Blood pressure readings (
C) and electrolyte levels (
D) are important in assessing fluid status, but they do not provide immediate information on respiratory status.

Correct Answer: C

Rationale: The most likely diagnosis is pneumonia (
Choice
C) because the client's chest x-ray shows lung hyperinflation and left upper lobe pneumonia. Lung hyperinflation can result from air trapping in the lungs, commonly seen in pneumonia. Left upper lobe pneumonia typically presents with symptoms such as cough, fever, and chest pain. Tuberculosis (
Choice
A) would typically present with different radiographic findings like cavitary lesions. Bronchitis (
Choice
B) presents with inflammation of the bronchial tubes, not hyperinflation. Asthma (
Choice
D) would show signs of reversible airway obstruction, not hyperinflation.

Correct Answer: C

Rationale: The correct answer is C because a caregiver insisting on staying in the room can be a potential sign of elder abuse, as it may indicate controlling behavior or a desire to monitor interactions. The other choices are less indicative of abuse: A could be related to mobility issues, B may reflect personal hygiene preferences, and D is a common legal arrangement for managing finances.

Correct Answer: C

Rationale: Correct answer: C. Make sure two fingers can fit under the sleeves.


Rationale: Ensuring two fingers can fit under the sleeves helps prevent restricting circulation and ensures proper fit for effective compression therapy. This allows for adequate circulation while providing the necessary compression to prevent blood clots postoperatively.

Summary of other choices:
A: Assisting the patient into a prone position is not necessary for applying thigh-length compression sleeves.
B: Placing the sleeve with the opening facing up is incorrect as it may hinder the proper functioning of the sequential compression device.
D: Setting ankle pressure at 65 mm Hg is incorrect as the focus should be on ensuring proper fit rather than specific pressure settings.