ATI NURSING FUNDAMENTALS FINAL EXAM-REVISION GUIDE 2021/2022

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ATI NURSING FUNDAMENTALS FINAL EXAM-REVISION GUIDE 2021/2022 1.) A nurse working in a hospital overhears following conversation between two other nurses on the elevator. Which of the following ac... tions should the nurse take? a.Inform the nurses that the neighbor's dog did not cause the wound. Accurate information is important. However, the nurse should only share client information in a private location with staff members who are directly involved in the client's care and have a need to know. b.Tell the nurses that this conversation is not appropriate. The nurse has the responsibility to protect the client's right to confidentiality and should intervene on the client's behalf. A breach of client confidentiality can result in liability for those involved. c.Complete an incident report upon returning to the unit. The nurse is not required to complete a facility incident report for this behavior. d.Report the nurses' conversation to the client's provider. The nurse should report the nurses' behavior to the charge nurse, but it is not necessary to report the conversation to the provider. 2.) A nurse is reinforcing teaching about carbohydrates counting with a client who has a new diagnosis of diabetes mellitus. Which of actions should the nurse take first? a.Use pictures of different food groups to help the client plan a daily menu. Using visual aids will assist with reinforcing the teaching, but it is not the first action the nurse should take. b.Ask the client what he already knows about meal planning. The first action the nurse should take using the nursing process is to collect data to determine the client's current level of knowledge. Then, the nurse can plan education to meet the client's needs. c.Give the client a brochure with sample menus for all meals. Using sample menus will assist with reinforcing the teaching, but it is not the first action the nurse should take. d.Involve the family in the discussion of the client's meal plan. Involving the client's family will assist with reinforcing the teaching, but it is not the first action the nurse should take. 3.) A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain client’s skin integrity? a.Use warm water when bathing the client. The nurse should use warm water to bathe the client because hot water can dry and damage the skin. b.Place a donut-shaped cushion in the client's chair. The nurse should use a gel, foam, or air cushion to redistribute weight away from the ischial areas. Rigid and donut-shaped cushions are contraindicated because they reduce blood supply to the area. c.Massage reddened areas over bony prominences. The nurse should not massage bony prominences because it can lead to tissue trauma. d.Maintain the client in high-Fowler's position. The nurse should keep the head of the client's bed at 30° or less to prevent pressure ulcers from forming. 4.) A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions? a.A client who has pneumonia The nurse should initiate droplet precautions for a client who has pneumonia. b.A client who has measles The nurse should initiate airborne precautions for a client who has measles. c.A client who has pertussis The nurse should initiate droplet precautions for a client who has pertussis. d.A client who has methicillin-resistant Staphylococcus aureus (MRSA) The nurse should initiate contact precautions for a client who has MRSA. 5.) A nurse is caring for a client who is postoperative following a mastectomy. The client states “I can barely look at myself in the mirror”. The nurse should identify that the client is experiencing which of the following? a.Complicated grief Complicated grief results when the usual stages of grieving do not take place. b.Maturational loss Maturational loss results from a developmental process, such as the growth of a child into an adult. c.Disenfranchised grief Disenfranchised grief results when clients have a loss they are unable to share publicly and that society might view as controversial. An example is the death of a partner who had a spouse. d.Actual loss The nurse should identify that the client's comments indicate an actual loss, which is a loss that occurs when the person can no longer feel, see, hear, or know an object, another person, or a part of themselves, such as the loss of a body part. [Show More]

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