ATI Fundamentals Proctored Exam 2023-2024 with NGN -Nurselytic

Correct Answer: C

Rationale: The correct answer is C because clients with partial and full-thickness burns to the face are at high risk for airway compromise and respiratory distress. Airway management is the top priority in emergency situations. The burns can cause swelling and obstruction of the airway, potentially leading to respiratory failure.
Therefore, immediate intervention is crucial to ensure the client's airway is clear and breathing is maintained.
Choice A can be ruled out because expected death does not change the priority of care.
Choice B is less urgent as it does not directly threaten the client's airway or breathing.
Choice D and E do not provide enough information to determine urgency.

Correct Answer: A

Rationale:
Correct Answer: A


Rationale:
1. By the 2nd post-op day, adequate pain management is crucial for optimal recovery.
2. If the client has not achieved satisfactory pain relief, it indicates an issue with the current pain management plan.
3. According to the nursing process, the next step is to assess the client to identify reasons for inadequate pain relief.
4. This assessment will help the nurse understand the underlying factors contributing to the pain and guide further interventions.
5. By reassessing the client, the nurse can tailor the pain management plan to ensure adequate relief and promote the client's recovery.

Summary:
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Choice B is incorrect as reassessment is necessary before determining reasons for pain.
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Choice C is incorrect as waiting for pain to lessen without active intervention may compromise the client's recovery.
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Choice D is premature without assessing the reasons for inadequate pain relief.
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Choice E is not the immediate priority before addressing the current pain management issue.

Correct Answer: C

Rationale: The correct answer is C: Determine client's risk factors. This intervention is crucial in assessing the client's health promotion and disease prevention needs. By identifying risk factors such as sexual history, behaviors, and practices, the nurse can tailor appropriate health education and preventive measures. Measuring vital signs (
A) is important but does not directly address health promotion in this context. Encouraging HIV screening (
B) is beneficial but does not encompass a comprehensive assessment of risk factors. Instructing the client to use condoms (
D) is a preventive measure but does not address the broader spectrum of risk factors.

Correct Answer: D

Rationale: The correct answer is D: Incubation. In the incubation stage of an infection, the pathogen enters the body and begins to multiply but has not yet caused any symptoms. In this case, the client reporting a severe sore throat indicates that the infection is still in the early stages before symptoms have fully developed.

Choices A and B describe symptoms that would occur later in the infection process.
Choice C, Prodromal, is the stage where initial symptoms begin to appear, which is not the case here.
Choice E, Convalescence, is the stage where the body recovers from the infection, which is also not applicable in this scenario.

Correct Answer: A

Rationale:
Correct Answer: A: My baby loved to play with crib gym, but I took it from him


Rationale:
1. Crib gyms can have small parts that pose a choking hazard.
2. By removing the crib gym, the mother is eliminating the risk of the baby choking on small parts.
3. This statement shows the mother's understanding of the safety concern and taking appropriate action.

Other

Choices:
B: Soft mattresses increase the risk of Sudden Infant Death Syndrome (SIDS).
C: Fluffy pillows pose suffocation hazards and should not be used for infants.
D: Child-safety gates that fold like accordions can pinch fingers and are not safe for infants.