ATI RN (NGN) FUNDAMENTALS REVISION
STUDY QUESTIONS AND ANSWERS RATED
A.
The client reported fever, chills, cough, and night sweats for the past 2
weeks
the nurse is placing the client on isolation precautions. which of the
following interventions should the nurse include?
-wear an N95 mask when caring for the client
-place a container for soiled linens inside the client's room
-place the client in a negative airflow room
-remove the mask after exiting the client's room
-wear a sterile, water-resistant gown if within 3 feet of the client.
Verified Answer --wear an N95 mask when caring for the client
-place a container for soiled linens inside the client’s room
-place the client in a negative airflow room
-remove mask after exiting the client’s room
A nurse is preparing to administer an injection of an opioid medication to
a client. The nurse draws out 1 mL of the medication from a 2 mL vial.
Which of the following actions should the nurse take?
-Ask another nurse to observe the medication wastage.
-Notify the pharmacy when wasting the medication.
-Lock the remaining medication in the controlled substances cabinet.
-Dispose of the vial with the remaining medication in a sharps container.
Verified Answer -Ask another nurse to observe the medication wastage.
,A nurse is using an open irrigation technique to irrigate a client's
indwelling urinary catheter. Which of the following actions should the
nurse take?
-Place the client in a side-lying position
-Instill 15 mL of irrigation fluid into the catheter with each flush
-Subtract the amount of irritant used from the clients urine output
-Perform the irrigation using a 20 mL syringe
Verified Answer -Subtract the amount of irritant used from the clients urine
output
A nurse is teaching a client & his family how to care for the client's
tracheotomy at home Which of the following instructions should the nurse
include in the teaching?
-Remove the outer cannula cautiously for routine cleaning
-Use tracheostomy covers when outdoors
-Use sterile technique when performing tracheostomy care at home
-Cleanse irritated skin w/ full strength hydrogen peroxide
Verified Answer -Use tracheostomy covers when outdoors
A nurse is educating a client who has a terminal illness about declining
resuscitation in a living will. The client asks, "What will happen if I arrived
at the emergency department & I had difficulty breathing?" Which of the
following responses should the nurse make?
-"We would consult the person appointed by your health care proxy to
make decisions."
-"We would give you oxygen through a tube in your nose."
-"You would be unable to change your previous wishes about your care."
,-"We would insert a breathing tube while we evaluate your condition."
Verified Answer -"We would give you oxygen through a tube in your
nose."
the nurse should first , ...... followed by........
Verified Answer --review medications that might be causing confusion
- using other methods to keep the client safe
A nurse is initiating a protective environment for a client who has had an
allogeneic stem cell transplant. Which of the following precautions should
the nurse plan for this client?
-Make sure the client's room has at least six air exchanges per hour.
-Make sure the client wears a mask when outside her room if there's
construction in the area.
-Place the client in a private room with negatives-pressure airflow.
-Wear an N95 respirator when giving client direct care.
Verified Answer -Make sure the client wears a mask when outside her
room if there's construction in the area.
The nurse is preparing to administer 0.9% sodium chloride 750 mL IV to
infuse over 7 hr. The nurse should set the infusion pump to deliver how
many mL/hr? (Round to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.)
Verified Answer -107 mL/hr
A nurse is admitting a client who has an abdominal wound with a large
amount of purple tissue drainage. Which of the following types of
transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
A nurse is caring for a client who is expressing anger about his diagnosis
of colorectal cancer. Which of the following actions should the nurse take?
-Discuss the risk factors for colon cancer.
-Focus teaching on what the client will need to do in the future to manage
his illness.
-Provide the client with written information about the phases of loss &
grief.
-Reassure the client that this is an expected response to grief.
Verified Answer --Reassure the client that this is an expected response to
grief.
A nurse is caring for a client who is postoperative following a knee
arthroplasty & requires the use of thigh-length sequential compression
sleeves. Which of the following actions should the nurse take?
-Assist the client into a prone position
-Place a sleeve over the top of each leg with the opening at the knee
-Make sure two finger can fit under the sleeves
-Set ankle pressure at 65 mmHg
Verified Answer --Make sure two finger can fit under the sleeves
A nurse is preparing to apply a dressing for a client who has a stage 2
pressure injury. Which of the following types of dressings should the nurse
use?
Alienate
Gauze
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