ATI NGN practice A Exam Questions and Answers 100% verified and updated

ATI NGN practice A Exam Questions and Answers 100% verified and updated A nurse is assessing an older client's risk for falls. Which of the following assessments should the nurse use to identify the client's safety needs? SATA A. Lacrimal apparatus B. Pupil clarity C. visual fields D. visual acuity E. appearance of bulbar conjunctivae - Answer️️ -Answer: pupil clarity visual fields visual acuity Rationale: Pupil clarity: Cloudy pupils mean that the client has cataracts. This makes vision cloudy and creates halos around lights, which can increase the risk for falls because the client cannot see items in their pathway clearly. Visual fields: the nurse should use a finger to test the client's peripheral vision by moving the finger out of range and then back into the visual field to determine when the client sees the finger. Clients who have a visual field impairment are at an increased risk for falls because they might not see objects outside of their central vision and trip over them or bump into them and fall. Visual acuity: the nurse should use the Snellen chart to assess distance vision and a handheld card to assess near vision. Clients who wear eyeglasses should wear them during the assessments. clients who have impaired visual acuity are at an increased risk for falls because they might not see objects in their path and trip over them or bump into them and fall. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? A. Check the client for injuries B. Move hazardous objects away from the client C. Notify the provider D. Ask the client to describe how she felt prior to the fall - Answer️️ -Answer: Check the client for injuries Rationale: The first action the nurse should take when using the nursing process is to assess the client for injuries. A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client? A. Make sure the client's room has at least 6 air exchanges per hour B. Make sure the client wears a mask when outside her room if there is construction in the area C. Place the client in a private room with negative-pressure air flow D. Wear an N95 respiratory when giving the client direct care - Answer️️ -Answer: Make sure the client wears a mask when outside of her room if there is construction in the area. Rationale: An allogeneic stem cell transplant compromised the client's immune system, greatly increasing the risk for infection. the client will need protection from breathing in any pathogens in the environment. A nurse on a medical-surgical unit is caring for a client who has a ne