what is the primary action when a nurse discovers a patient has fallen what is the primary action when a nurse discovers a patient has fallen
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Nursing Elites

ATI RN

ATI RN Exit Exam Test Bank

1. What is the primary action when a healthcare provider discovers a patient has fallen?

Correct answer: A

Rationale: When a healthcare provider discovers a patient has fallen, the primary action should be to assess the patient for injuries. This is crucial to determine the extent of harm and if immediate treatment is necessary. Calling for help is important, but assessing the patient's condition takes precedence to ensure the patient's safety and well-being. While documenting the fall and notifying the healthcare provider are essential steps, they come after assessing the patient's injuries.

2. What should the nurse include in patient education for a patient starting on bupropion for major depressive disorder?

Correct answer: A

Rationale: Patients prescribed bupropion should be educated to avoid consuming alcohol while on this medication to reduce the risk of seizures. Bupropion lowers the seizure threshold, and alcohol can further increase this risk. It is important for patients to understand the potential consequences of combining bupropion with alcohol to ensure their safety and treatment effectiveness. Choices B, C, and D are incorrect. Taking bupropion in the morning does not prevent insomnia; it is not associated with significant weight gain; and it is not a first-line treatment for anxiety.

3. A nurse is planning care of an adolescent who is postoperative following a lumbar laminectomy. Which of the following interventions should the nurse include in the plan of care?

Correct answer: C

Rationale: The correct answer is C because after a lumbar laminectomy, the adolescent may need assistance with personal hygiene due to limited mobility and pain. Encouraging the guardian to assist with personal hygiene ensures proper care and prevents complications. Choice A is incorrect as limiting visitors may affect the adolescent's emotional well-being and support system. Choice B is incorrect as the adolescent should have autonomy in selecting their food choices as long as they align with their dietary restrictions post-surgery. Choice D is incorrect as the adolescent may need guidance and support in decision-making during the postoperative period.

4. Failure of muscle coordination, including unsteady movements and staggering walk due to disorders in the cerebellum is called:

Correct answer: D

Rationale: Ataxia is the correct term for the failure of muscle coordination, resulting in unsteady movements and a staggering walk due to disorders in the cerebellum. Anoxia refers to a lack of oxygen supply to tissues, Dyslexia is a learning disorder related to reading, and Paraplegia is paralysis of the lower half of the body.

5. In order to minimize or avoid negative outcomes as a result of the violation and disciplinary action, the employee should offer which of the following?

Correct answer: C

Rationale: In order to minimize or avoid negative outcomes resulting from a violation and disciplinary action, the employee should offer suggestions. By providing suggestions, the employee demonstrates a willingness to improve and prevent future occurrences. Offering excuses (choice A) may deflect responsibility and not address the issue at hand. Discipline (choice B) is the action taken by the employer, not the employee. Rules (choice D) are guidelines to follow, but in this context, offering suggestions for improvement is more relevant.

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