ATI RN Fundamentals Exam Review Questions & Answers
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ATI RN Fundamentals
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ATI RN Fundamentals
ATI RN Fundamentals Exam Review Questions & Answers-Integumentary and peripheral vascular systems: identifying types of lesions
List two (2) examples of a primary skin lesion including description and example of each. Provide an example of appropriate documentation of the integumentary system...
ATI RN Fundamentals Exam Review
Questions & Answers
Integumentary and peripheral vascular systems: identifying types of lesions
List two (2) examples of a primary skin lesion including description and example
of each. Provide an example of appropriate documentation of the integumentary
system. - Macule: Nonpalpable, skin color change, < 1 cm. Example: Freckle
Papule: Palpable, circumscribed , < 0.5 cm. Example: Elevated nevus
Nodule/tumor: Palpable, circumscribed, 0.5 cm or >. Example: Wart
EXAMPLE: Skin is pink, warm, and dry. Turgor is brisk and skin is elastic.
Rough, thickened skin over heels, elbows, and knees; otherwise, skin is smooth. A
0.5 cm brown papule on right forearm and a 2.5 cm scar on left knee that is healed.
Capillary refill is < 3 seconds. No edema is noted.
Airway management: Discharge teaching regarding Home Oxygen Therapy
A client is receiving home oxygen. What teaching points should the nurse provide
the client and the caregiver regarding home oxygen safety? - Since oxygen is
combustible, the following nursing actions are important for the nurse to
implement:Post ""No Smoking"" or ""Oxygen in Use"" signs to alert others of the
fire hazard. Know where to find the closest fire extinguisher. Educate about the fire
hazard of smoking with oxygen use. Have clients wear a cotton gown because
synthetic or wool fabrics can generate static electricity. Ensure that all electric
, devices (razors, hearing aids, radios) are working well. Make sure all electric
machinery (monitors, suction machines) is grounded. Do not use volatile,
flammable materials (alcohol, acetone) near clients receiving oxygen.
Nursing Process: Priority Action When Providing Care for a Newly Admitted
Client
The assistive personnel reported to the charge nurse that a client's vital signs are as
follows:
Blood Pressure 148/72, Pulse 92, Respirations 30, Temperature 102° F
What action should the nurse take? - The nurse should reassess the client's vital
signs to validate the data collected by the assistive personnel.Assessment and data
collection is the first and important part of the nursing process. Assessment/data
collection involves the systematic collection of information about clients' present
health statuses to identify needs and additional data to collect based on findings.
Nurses can collect data during an initial assessment (baseline data), focused
assessment, and ongoing assessments. Without first completing the appropriate
client assessment, the nurse would not be able to formulate the correct plan of care
for the client.
Nursing Process Documenting the Implementation Step of Client
List three (3) actions by the nurse should take during the assessment and data
collection steps. - Recognize patterns or trends.
Compare the data with expected standards or reference ranges.
Arrive at conclusions to guide nursing care.
Intravenous Therapy: Managing Complications of IV Therapy
The nurse is caring for a client receiving IV fluid replacement and is monitoring
for complications at the IV insertion site. Compare and contrast signs and
symptoms along with nursing interventions for infiltration and phlebitis at an IV
insertion site. - Signs and symptoms of infiltration include pallor, local swelling at
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