ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Questions 59

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ATI RN Fundamentals Online Practice 2023 B Questions

Extract:

A nurse is caring for a patient who has dementia


Question 1 of 5

What intervention should the nurse take to minimize the risk of injury to the patient?

Correct Answer: A

Rationale: The correct answer is A: Use a bed exit alarm system. This intervention helps to prevent patient falls by alerting the nurse when the patient attempts to leave the bed unsafely. It promotes early intervention and reduces the risk of injury. Raising four side rails (
B) may restrict the patient's movement excessively and could lead to entrapment. Applying a soft wrist restraint (
C) may cause discomfort and compromise the patient's circulation. Dimming the lights (
D) does not directly address the risk of injury.

Extract:

A nurse is providing dietary advice to a client at risk for hypokalemia.


Question 2 of 5

Which food should the nurse recommend for inclusion in the client's diet?

Correct Answer: D

Rationale: The correct answer is D: Avocados. Avocados are a nutrient-dense food high in healthy fats, fiber, and various vitamins and minerals, beneficial for heart health and weight management. Cucumbers (
A) are low in nutrients compared to avocados. Corn (
B) is high in carbs and lower in healthy fats. Asparagus (
C) is nutritious but not as nutrient-dense as avocados.

Extract:


Question 3 of 5

A nurse is instructing a client whose left leg is in a cast on how to use crutches. Which statement from the client indicates they have understood the instructions?

Correct Answer: B

Rationale: The correct answer is B because placing crutches 12 inches in front and to the side of each foot provides the client with a wider base of support, ensuring stability and preventing falls. This position also allows for proper weight distribution and reduces strain on the arms and shoulders.
Choice A is incorrect because shifting weight to the right leg while descending stairs can lead to imbalance.
Choice C is incorrect as holding one crutch in each hand while sitting down is not a safe or effective technique for using crutches.
Choice D is incorrect because ensuring the shoulder rests are snug against the body may not necessarily indicate proper crutch use.

Extract:

Diagnostic Results
Week 1:

Hematocrit (Hct): 42% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 15 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 8,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 350,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.7 mEq/L (Normal range: 3.5 to 5 mEq/L)
Week 2:

Hematocrit (Hct): 37% (Normal range: 37% to 47%)
Hemoglobin (Hgb): 12 g/dL (Normal range: 12 to 16 g/dL)
White Blood Cell (WBC) count: 6,000/mm² (Normal range: 5,000 to 10,000/mm²)
Platelet count: 100,000/mm² (Normal range: 150,000 to 400,000/mm²)
Potassium: 3.6 mEq/L (Normal range: 3.5 to 5 mEq/L)


Question 4 of 5

A nurse is caring for a female client. The following diagnostic results have been recorded over two weeks: Complete the following sentence by using the lists of options. The client is at risk for -----------------as evidenced by the-----------------------

Correct Answer: A,E

Rationale: Action to Take: A, E; Potential Condition: B; Parameter to Monitor: E, F.


Rationale: The correct answer is A, E because a decrease in platelet count (E) from 350,000/mm² to 100,000/mm² indicates a risk of bleeding. This is further supported by the decrease in hemoglobin levels (F) from 15 g/dL to 12 g/dL, indicating anemia. Monitoring platelet count (E) and hemoglobin levels (F) will help track the risk of bleeding and anemia. Other choices (C, D, G) are not directly supported by the diagnostic results provided.

Extract:


Question 5 of 5

A nurse is caring for a group of patients.Which of the following actions should the nurse take to prevent the spread of infection?

Correct Answer: B

Rationale:
Correct Answer: B


Rationale: Placing a patient with tuberculosis in a room with negative-pressure airflow is crucial to prevent the spread of infection. Negative-pressure airflow helps to contain and remove airborne pathogens, reducing the risk of transmission to others. This is especially important for patients with airborne infectious diseases like tuberculosis.

Incorrect

Choices:
A: Carrying soiled linens in a mesh bag can lead to the spread of infection as pathogens may escape through the mesh.
C: Providing disposable items for an HIV-positive patient is good practice for reducing cross-contamination but does not directly address airborne infection control.
D: Disposing of blood-saturated dressings in a trash bag is not appropriate as it can lead to exposure to bloodborne pathogens. Double-bagging does not provide adequate protection.

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