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Nursing Elites

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1. What information will the nurse include in teaching a female patient who has peripheral arterial disease, type 2 diabetes, and sensory neuropathy of the feet and legs?

Correct answer: A

Rationale: The correct answer is to select flat-soled leather shoes. Patients with peripheral arterial disease, type 2 diabetes, and sensory neuropathy are at risk for foot injuries due to decreased sensation and poor circulation. Flat-soled leather shoes can help prevent injuries and provide adequate support without causing pressure points. Choice B is incorrect as using heating pads can lead to burns for patients with sensory neuropathy. Choice C is wrong because using callus remover may lead to skin damage for patients with compromised circulation. Choice D is not recommended as soaking feet in warm water can further damage the skin due to decreased sensation.

2. A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?

Correct answer: B

Rationale: The correct answer is 'B: Protective environment.' Rubella requires placing the client in a protective environment due to its airborne precautions. Airborne precautions are typically used for diseases that are spread through tiny droplets that remain in the air for an extended period, like tuberculosis. Contact precautions are used for diseases that are spread by direct or indirect contact, such as MRSA. Droplet precautions are implemented for diseases transmitted through respiratory droplets, like influenza. Therefore, in the case of rubella, airborne precautions in a protective environment are necessary.

3. Which of the following is an example of a secondary prevention strategy?

Correct answer: B

Rationale: Screening for hypertension is indeed an example of a secondary prevention strategy. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Administering flu vaccinations (Choice A) is an example of primary prevention, aimed at preventing the disease from occurring. Performing a mastectomy (Choice C) is a treatment for an existing condition and not a preventive strategy. Providing rehabilitation after surgery (Choice D) is a form of tertiary prevention that focuses on restoring function and improving quality of life after an illness or injury.

4. A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?

Correct answer: B

Rationale: The correct answer is 'Disruptive conflict.' In disruptive conflict, the parties involved are engaged in activities to reduce, defeat, or eliminate the opponent. In this scenario, the resident and the nurse are engaging in behaviors that disrupt their professional relationship by intentionally ignoring pages and making excessive retaliatory calls. Perceived conflict refers to a situation where one or more parties believe that a conflict exists, competitive conflict involves striving to achieve personal goals at the expense of others, and felt conflict refers to the emotional involvement in a conflict situation.

5. A client experiences an air emboli, resulting in a stroke, during an IV start. This can be classified as which type of risk?

Correct answer: D

Rationale: The correct answer is D, 'Diagnostic procedure.' When a client experiences an air emboli leading to a stroke during an IV start, it falls under the category of a diagnostic procedure risk. This incident occurred during a procedure intended for diagnosis or evaluation. Choices A, B, and C are incorrect. Patient dissatisfaction refers to a client's discontent with care, service, or outcomes; a medical-legal incident involves legal issues related to healthcare practices; and a medication error pertains to mistakes in medication administration.

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ATI TEAS 7 Exam Overview

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