ATI RN FUNDAMENTALS ONLINE PRACTICE NGN 2023 WITH NGN LATEST VERSION COMPLETE 120 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

ATI RN FUNDAMENTALS ONLINE PRACTICE NGN

2023 WITH NGN LATEST VERSION COMPLETE 120

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

A nurse is preparing to transfer a client who can bear weight on one leg

from the bed to a chair. After securing a safe environment, which of the

following actions should the nurse take next?

A. Rock the client up to a standing position.

B. Pivot on the foot that is the farthest from the chair.

C. Assess the client for orthostatic hypotension.

D. Apply a gait belt to the client. - ANSWER- C. Assess the client for

orthostatic hypotension.

Rationale: The first action the nurse should take when using the

nursing process is to assess the client. The nurse should determine the

client's risk for falling or fainting during the transfer by assisting the

client to sit and dangle the feet on the side of the bed. The nurse

should assess for dizziness and a significant drop in blood pressure

before assisting the client to stand and transfer into the chair.

A nurse is admitting a client who reports experiencing a sore throat,

productive cough, and fever for the past 3 days.

The nurse is reviewing the client's medical record. Which of the

following actions should the nurse take?

Select all that apply.

Nurses' Notes

1000:

Client reports sore throat, productive cough with yellow-colored mucus,

and fever for the past 3 days. Client has swollen lymph nodes. Client

also reports headache that, "won't go away." Client's face is flushed and

diaphoretic. Throat culture and blood work obtained as prescribed.

Vital Signs

1000:

Blood pressure 132/68 mm Hg, Heart rate 99/min, Respiratory rate

20/min, Temperature 38.3° C (101° F), Oxygen saturation 96% on room

air

Diagnostic Results

1100:

Positive throat culture for streptococci bacteria.

A. Request a prescription for an antibiotic medication.

B. Apply oxygen at 2 L/min via nasal cannula.

C. Initiate droplet precautions.

D. Wear a mask within 1 m (3 feet) of the client.

E. Place the client in a negative airflow room.

F. Apply a mask on the client when they leave their room. - ANSWERA. Request a prescription for an antibiotic medication.

The nurse should identify that the client has streptococcal pharyngitis

due to the client's manifestations and a positive throat culture.

Therefore, the nurse should request an antibiotic medication, such as

penicillin, to treat the client's infection.

C. Initiate droplet precautions.

The nurse should identify that the client has streptococcal pharyngitis,

which is transmitted through droplets greater than 5 microns in the

air. Therefore, the nurse should initiate droplet precautions for the

client.

D. Wear a mask within 1 m (3 feet) of the client.

The nurse should identify that the client has streptococcal pharyngitis.

Therefore, the nurse should wear a mask when within 1 m (3 feet) of

the client to prevent the spread of the infection.

F. Apply a mask on the client when they leave their room.

The nurse should identify that the client has streptococcal pharyngitis.

Therefore, the nurse should apply a mask on the client when they

leave their room to prevent transmission of the infection.

A nurse is calculating a client's fluid intake over the past 8 hr. Which of

the following items should the nurse plan to document on the client's

intake and output record as 120 mL of fluid?

A. 2 cups of soup

B. 1 quart of water

C. 8 oz of ice chips

D. 6 oz of tea - ANSWER- C. 8 oz of ice chips

Rationale: The nurse should document half of the volume of ice chips

when calculating fluid intake to account for the air in between the

chips. The nurse should understand that 4 oz of liquid water is equal

to 120 mL of fluid.

A nurse is caring for a group of clients on a medical-surgical unit. In

which of the following situations does the nurse demonstrate the ethical

principle of veracity?

A. A client who is unaware of her recent cancer diagnosis asks the nurse

if she has cancer, and the nurse responds affirmatively.

B. A client who has a prescription for a nasogastric tube refuses it, and

the nurse complies with the client's wishes.

C. A client who has a do-not-resuscitate (DNR) order has a cardiac

arrest, and the nurse does not perform CPR despite requests from the

client's family.