ATI RN Fundamentals Online Practice 2023 B | Nurselytic

Questions 59

ATI RN

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ATI RN Fundamentals Online Practice 2023 B Questions

Extract:

A nurse responds to a call light and finds a patient lying on the bathroom floor.


Question 1 of 5

What should the nurse do first?

Correct Answer: A

Rationale: The nurse should first check the patient for injuries (
Choice
A) because assessing the patient's immediate physical condition is crucial for prioritizing care. This step ensures timely intervention to address any potential life-threatening injuries. Moving hazardous objects (
Choice
B) can wait until the patient's safety is confirmed. Notifying the provider (
Choice
C) can be done after assessing the patient's condition. Asking the patient to describe their feelings prior to the fall (
Choice
D) is important but not as urgent as checking for injuries.

Extract:

A nurse is providing discharge instructions to a patient who has a new prescription for a home oxygen concentrator.


Question 2 of 5

Which of the following instructions should the nurse provide to the patient and their family?

Correct Answer: A,B,C,D

Rationale: The correct instructions for the patient and family are important for safety and health.
A: Regularly inspecting the cord prevents electrical hazards. B: Keeping the unit away from a gas stove prevents fire hazards. C: Having a generator ensures power backup during emergencies. D: Monitoring for hypoxia is crucial for early intervention.
Incorrect: E: Clothing choice is unrelated to the instructions.

Extract:


Question 3 of 5

A nurse is educating a client who is under protective isolation precautions. Which statement from the client indicates they have understood the teaching?

Correct Answer: D

Rationale: The correct answer is D: "I will wear a face mask when leaving my hospital room." This statement shows understanding of the need to prevent the spread of infection by wearing a face mask, a key aspect of protective isolation precautions.
Choice A is incorrect as shower frequency doesn't relate to isolation precautions.
Choice B is incorrect as it doesn't address infection control.
Choice C is incorrect because taking a plane could expose others to potential infection.

Extract:

A client with herpes zoster is inquiring about the use of complementary and alternative therapies for pain management.


Question 4 of 5

Which therapy should the nurse inform the client is contraindicated for their condition?

Correct Answer: D

Rationale: The correct answer is D: Acupuncture. Acupuncture involves inserting thin needles into specific points on the body to alleviate various conditions. However, for some clients with certain medical conditions like bleeding disorders or compromised immune systems, acupuncture can be contraindicated due to the risk of infection or excessive bleeding.
Therefore, the nurse should inform the client that acupuncture is not suitable for their condition.
A: Biofeedback is a non-invasive technique that helps individuals control physiological processes. It is generally safe and not contraindicated for most clients.
B: Aloe is a natural remedy often used for skin conditions or as a dietary supplement. It is generally safe and not contraindicated for most clients.
C: Feverfew is an herb commonly used for migraines and other conditions. While it may interact with certain medications, it is not typically contraindicated for most clients.

Extract:

A nurse is caring for a client who has a peripheral IV inserted for fluid replacement.
On Day 1, Lactated Ringer’s was infusing at 100 mL/hr into a 20-gauge IV catheter in the left hand. The IV dressing was dry and intact.
The IV site was without redness or swelling. The IV fluid was infusing well.
On Day 2, the IV site was edematous.
The skin surrounding the catheter site was taut, blanched, and cool to touch. The IV fluid was not infusing.
The nurse is assessing the client.


Question 5 of 5

Which of the following actions should the nurse take?

Correct Answer: A,B,C

Rationale: The correct actions for the nurse to take are A, B, and C. A: Stopping the IV infusion is necessary if there are signs of infiltration or phlebitis. B: Elevating the client's left arm helps reduce swelling and promote venous return. C: Applying heat to the client's left hand can improve circulation and comfort.
Choice D is incorrect as starting a new IV without addressing the current issue is unnecessary.

Choices E, F, and G are not provided, but based on the rationale, they would also be incorrect since the correct actions address the current problem effectively.

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