Questions 48

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ATI Msn De5320 Fundamentals Exam Questions

Extract:


Question 1 of 5

Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?

Correct Answer: D

Rationale: Consulting physical therapy for mobility exercises exemplifies a team approach, leveraging specialized expertise. Respiratory therapy is unrelated to mobility, lung sound assessment isn’t delegable, and sole responsibility isn’t collaborative.

Question 2 of 5

The nurse working in the ER is admitting a toddler to the orthopedic unit. The parents and grandparents are at bedside. What should the nurse use as the best source of data for this client?

Correct Answer: C

Rationale: Parents, as primary caregivers, provide the most accurate, up-to-date data on a toddler’s health and history. Grandparents offer secondary insights, providers give clinical data, and records may lack recent details.

Question 3 of 5

The client has been admitted and placed on fall precautions. The nurse explains to the patient that interventions for the precautions include:

Correct Answer: A,C,E

Rationale: A fall-risk armband alerts staff, a low bed reduces injury risk, and an accessible call light enables assistance requests. Checking once per shift is insufficient, and four side rails may cause entrapment.

Question 4 of 5

A nurse is preparing to provide preoperative teaching for a client. Which of the following actions should the nurse plan to take?

Correct Answer: A,D

Rationale: Material at an eighth-grade reading level ensures accessibility, and starting with critical information prioritizes key details. Television is distracting, and technical language may confuse clients.

Question 5 of 5

The nurse is reviewing interventions written for a client. Which of the following should the nurse consider as being independent?

Correct Answer: B

Rationale: Repositioning is an independent nursing action to prevent complications, requiring no order. Medication administration and IV antibiotics are dependent, needing physician orders.

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