ATI RN
ATI Fundamentals Proctored Exam Quizlet
1. When teaching a client with tuberculosis, which statement should the nurse include?
- A. You will need to continue taking the multi-medication regimen for 4 months.
- B. You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication.
- C. You will need to remain hospitalized for treatment.
- D. You will need to wear a mask at all times.
Correct answer: B
Rationale: Monitoring the effectiveness of tuberculosis medication is crucial to ensure the treatment is working properly. Regular sputum samples help in assessing the response to the medication. This monitoring can guide adjustments in the treatment plan if needed. Options A and C are incorrect as they do not reflect essential aspects of tuberculosis treatment. Option D is not a standard recommendation for tuberculosis treatment and may lead to misconceptions.
2. When is sterile technique used?
- A. During strict isolation procedures
- B. After terminal disinfection is performed
- C. For invasive procedures
- D. When protective isolation is necessary
Correct answer: C
Rationale: Sterile technique is utilized during invasive procedures to prevent the introduction of pathogens, minimizing the risk of infections. This strict approach ensures that the procedure is performed in a sterile environment, reducing the chances of contamination and subsequent complications.
3. When a chest tube is accidentally removed from a client, which of the following actions should the nurse NOT take first?
- A. Obtain a chest x-ray
- B. Apply sterile gauze to the insertion site
- C. Place tape around the insertion site
- D. Assess respiratory status
Correct answer: B
Rationale: When a chest tube is accidentally removed, the priority action for the nurse is to immediately seal the insertion site with a gloved hand, a sterile occlusive dressing, or petroleum gauze to prevent air from entering the pleural space and causing a pneumothorax. Applying sterile gauze to the insertion site is not the correct initial action. The first step is to prevent respiratory compromise by ensuring the site is sealed. Therefore, the nurse should not apply sterile gauze to the insertion site first.
4. A healthcare provider is reviewing the laboratory report of a client who has been taking lithium carbonate for the past 12 months. The provider notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the healthcare provider expect?
- A. Withhold the next dose
- B. Increase the dosage
- C. Discontinue the medication
- D. Administer the medication
Correct answer: D
Rationale: A lithium level of 0.8 mEq/L falls within the therapeutic range for maintaining the drug's effectiveness while minimizing toxicity. Therefore, the appropriate action would be to continue administering the medication as prescribed by the healthcare provider to maintain the therapeutic effect for the client.
5. What is the most common injury among elderly persons?
- A. Atherosclerotic changes in the blood vessels
- B. Increased incidence of gallbladder disease
- C. Urinary Tract Infection
- D. Hip fracture
Correct answer: D
Rationale: Hip fracture is the most common injury among elderly persons. As people age, their bones become more fragile, making them more susceptible to hip fractures, often resulting from falls. These fractures can significantly impact an elderly person's quality of life and mobility, making them a significant concern in geriatric care.
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