Questions 47

ATI RN

ATI RN Test Bank

ATI Med Surg Nur214 Questions

Extract:


Question 1 of 5

The nurse is providing education to the staff about delirium. Which statement made by a staff member indicates a need for further education?

Correct Answer: B

Rationale: The statement "Delirium and dementia cannot coexist" is incorrect, as delirium and dementia can coexist, indicating a need for further education.

Question 2 of 5

The nurse is reassessing a 57-year-old female client who was admitted to the hospital with a left upper arm open wound infection (methicillin-resistant Staphylococcus aureus [MRSA] and several gram-negative bacteria) and cellulitis 5 days ago. Tomorrow she is scheduled for discharge to home with her daughter to continue oral antibiotic therapy for another 10 days. For each assessment finding, use the choices from the drop-down box to indicate whether the interventions were Effective (helped to meet expected outcomes), Ineffective (did not help to meet expected outcomes), or Unrelated (not related to the expected outcomes).

Correct Answer: A

Rationale: Mild pain (2/10) indicates effective pain management. Normal blood glucose is effective. Slight redness suggests ineffective infection resolution. Back achiness is unrelated to the infection treatment.

Question 3 of 5

A nursing student confidently communicates with a patient before performing a procedure for the first time, assuring the patient of their ability to safely carry out the procedure. This demonstrates which critical thinking attitude?

Correct Answer: B

Rationale: Confidence involves believing in one's own abilities and knowledge, demonstrated by the student's assurance to the patient.

Extract:

A 73-year-old male patient has been admitted to an inpatient unit from the emergency room. He has been coughing severely for the past two days, has a headache, and a sore throat. His COVID test is positive and he has Type II Diabetes. He denies any history of smoking. His vital signs are as follows: Temperature - 101.0, Pulse - 84, Respiration - 24, Blood Pressure - 152/84, Pulse oximetry - 92%. The registered nurse (RN) delegates the collection of a urine specimen and Fasting Blood Sugar (FSBS) from the client to the nurse aide II.


Question 4 of 5

What are the responsibilities of the RN in regard to this delegated task? Select all that apply.

Correct Answer: A,B,C,D

Rationale: The RN must ensure training, maintain accountability, ensure policy compliance, and assess the patient prior to delegation.

Extract:


Question 5 of 5

The nurse is assessing a patient being cared for at the end of life. Which of the following respiratory patterns would be expected?

Correct Answer: D

Rationale: Cheyne-Stokes respirations, characterized by cycles of increasing and decreasing depth with periods of apnea, are commonly observed in end-of-life patients.

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