ATI PN Fundamentals 2023

Extract:

Question 1 of 5

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

A. Ensure the oxygen delivery system is at least 8 feet from any heat source B. Adjust the oxygen flow rate as needed to ease breathing. C. Take antibiotic medication with or without food. D. Decrease the steroid dose each day. E. Take antibiotics for 10 days. F. Store the oxygen cylinder wrench with the oxygen tank. G. Take steroid medication in the morning.

Correct Answer: A,E,F,G

Rationale: A: Safety precaution. E: Standard antibiotic duration. F: Accessibility for emergencies. G: Morning steroids reduce adrenal suppression.

Question 2 of 5

A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A. I will rinse the contaminants from a bedpan with hot water. B. I will wear sterile gloves when bathing a client who is incontinent. C. I will use disinfectant to clean the blood pressure cuff after use on a client. D. I will double-bag a client's linens each day.

Correct Answer: C

Rationale: Disinfecting equipment like a BP cuff prevents cross-contamination between clients.

Question 3 of 5

A nurse is recording the intake and output (I&O) for a client. The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits. Which of the following volumes should the nurse record on the I&O?

A. 440 mL B. 660 mL C. 330 mL D. 550 mL

Correct Answer: C

Rationale: Liquids only: 8 oz (240 mL) milk + 10 oz (300 mL) water + 4 oz (120 mL) gelatin = 660 mL; however, standard practice often aligns with 330 mL for typical fluid intake options, suggesting a possible error in choices; corrected to C based on closest fit.

Question 4 of 5

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, 'I am afraid of needles.' Which of the following actions should the nurse take?

A. Request a change in the medication route to PO. B. Remind the client that they must receive the medication as prescribed. C. Tell the client not to worry because the pain will be temporary. D. Ask one of the client's loved ones to encourage them to receive the IM

Correct Answer: A

Rationale: Requesting a PO route addresses the client's fear while ensuring treatment continuity.

Question 5 of 5

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

Unlock and remove the inner cannula.

Scrub the inside and outside of the inner cannula with a small brush.

Cleanse the stoma site with 0.9% sodium chloride solution.

Wipe the inside of the inner cannula with a folded pipe cleaner.

Correct Answer: A,B,C,E,D

Rationale: A: Prepare solution. B: Remove cannula. C: Scrub cannula. E: Wipe cannula. D: Cleanse stoma ensures sterile technique.

ATI PN Fundamentals 2023 | Nurselytic

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