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TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1- 58 WITH QUESTIONS AND ANSWERS)/FUNDAMENTALS OF NURSING 10TH EDITION (10.0) ATI, CONTENT MASTERY SERIES REVIEW MODULE17,03 €
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TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1- 58 WITH QUESTIONS AND ANSWERS)/FUNDAMENTALS OF NURSING 10TH EDITION (10.0) ATI, CONTENT MASTERY SERIES REVIEW MODULE
TEST BANK FOR RN ATI FUNDAMENTALS (ALL CHAPTERS 1- 58 WITH QUESTIONS AND ANSWERS)/FUNDAMENTALS OF NURSING 10TH EDITION (10.0) ATI, CONTENT MASTERY SERIES REVIEW MODULE
TEST BANK FOR RN ATI FUNDAMENTALS (ALL
CHAPTERS 1- 58 WITH QUESTIONS AND
ANSWERS)/FUNDAMENTALS OF NURSING 10TH
EDITION (10.0) ATI, CONTENT MASTERY SERIES
REVIEW MODULE
Question 1
A nurse is providing care to a client who is at risk for falls. Which of the following actions
should the nurse take first?
A. Place a fall-risk identification band on the client.
B. Complete a fall-risk assessment.
C. Implement fall prevention interventions.
D. Educate the client and family about fall risks.
Answer: B. Complete a fall-risk assessment.
Rationale: The first step in preventing falls is to identify those at risk. A comprehensive fall-risk
assessment allows the nurse to determine the specific interventions needed for the client.
Question 2
A nurse is teaching a group of new nursing assistants about the use of gait belts. Which of
the following instructions should the nurse include?
A. Place the gait belt over the client's clothing.
B. Fasten the gait belt around the client's chest.
C. Use the gait belt only when transferring clients from bed to chair.
D. Remove the gait belt during ambulation to promote independence.
Answer: A. Place the gait belt over the client's clothing.
,Rationale: Gait belts should be placed over the client's clothing to ensure comfort and safety.
Placing it around the waist, not the chest, provides proper support during transfers and
ambulation.
Question 3
A nurse is caring for a client with a nasogastric (NG) tube for decompression. Which of the
following actions should the nurse take?
A. Check the tube placement every 24 hours.
B. Flush the tube with 20 mL of air every 4 hours.
C. Secure the tube to the client's gown.
D. Maintain the head of the bed at 30 degrees.
Answer: D. Maintain the head of the bed at 30 degrees.
Rationale: Keeping the head of the bed elevated at 30 degrees helps prevent aspiration and
promotes effective decompression.
Question 4
A nurse is administering a cleansing enema to a client. Which of the following actions
should the nurse take?
A. Position the client on their right side.
B. Insert the enema tube 8 inches into the rectum.
C. Hold the enema container 18 inches above the anus.
D. Administer the solution at a temperature of 105°F (40.5°C).
Answer: C. Hold the enema container 18 inches above the anus.
Rationale: Holding the enema container 18 inches above the anus ensures a proper flow of
solution without causing discomfort or injury to the client.
,Question 5
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take?
A. Inflate the catheter balloon with 5 mL of sterile water before insertion.
B. Cleanse the urethral meatus using an antiseptic solution.
C. Apply sterile gloves before opening the catheter kit.
D. Position the client in a semi-Fowler's position.
Answer: B. Cleanse the urethral meatus using an antiseptic solution.
Rationale: Cleansing the urethral meatus with an antiseptic solution reduces the risk of
introducing pathogens into the urinary tract during catheter insertion.
Question 6
A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instructions should the nurse include?
A. Soak feet in warm water daily.
B. Trim toenails straight across.
C. Apply lotion between the toes.
D. Walk barefoot to increase circulation.
Answer: B. Trim toenails straight across.
Rationale: Trimming toenails straight across helps prevent ingrown toenails, which can lead to
infection, especially in clients with diabetes.
Question 7
A nurse is planning care for a client who requires bilateral wrist restraints. Which of the
following interventions should the nurse include?
A. Remove the restraints every 4 hours.
, B. Tie the restraints to the side rails of the bed.
C. Perform range-of-motion exercises.
D. Assess the client's skin integrity every 2 hours.
Answer: D. Assess the client's skin integrity every 2 hours.
Rationale: Regularly assessing skin integrity helps prevent complications such as pressure
ulcers and circulation issues in clients with restraints.
Question 8
A nurse is providing discharge teaching to a client who has a new prescription for home
oxygen therapy. Which of the following instructions should the nurse include?
A. Keep the oxygen tank at least 5 feet away from heat sources.
B. Increase the oxygen flow rate if shortness of breath occurs.
C. Smoke only in a well-ventilated area.
D. Use wool blankets and clothing to avoid static electricity.
Answer: A. Keep the oxygen tank at least 5 feet away from heat sources.
Rationale: Oxygen tanks should be kept away from heat sources to prevent fires. Increasing the
oxygen flow rate and smoking near oxygen are dangerous, and wool can cause static electricity.
Question 9
A nurse is caring for a client who is postoperative. Which of the following interventions
should the nurse take to prevent deep vein thrombosis (DVT)?
A. Encourage the client to perform leg exercises every hour.
B. Massage the client's legs to promote circulation.
C. Keep the client's legs elevated above heart level.
D. Apply warm compresses to the client's legs.
Answer: A. Encourage the client to perform leg exercises every hour.
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