RN ATI FUNDAMENTALS ONLINE PRACTICE B | ATI RN FUNDA
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MENTALS ONLINE PRACTICE 2024 B QUESTIONS AND CORREC
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T ANSWERS GRADED A | 100% CORRECT
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AbnursebisbcaringbforbabclientbwhobisbreceivingbfluidbthroughbabperipheralbIVbcatheter.bWhichbofbthebfollowi
ngbfindingsbatbthebIVbsitebshouldbthebnursebidentifybasbindicatingbinfiltration?
Purulentbexudate
b Warmth
Skinbblanchingb
Bleedingb Correc
tbAnswer:
SkinbBlanching
Skinbblanching,bedema,bandbcoolnessbatbthebIVbsitebindicatebinfiltration.
IncorrectbAnswer:
Purulentbexudate
Exudatebindicatesbinfection,bnotbinfiltration.
Warmth
Warmthbindicatesbphlebitis,bnotbinfiltration.
Bleedingbcanbhavebabmechanicalbcauseborbcanboccurbasbthebresultbofbanticoagulation.bItbisbnotbabsignbofbi
nfiltration.
Abnursebisbteachingbabclientbandbtheirbfamilybhowbtobcarebforbthebclient'sbtracheostomybatbhome.bWhichbofb
thebfollowingbinstructionsbshouldbthebnursebincludebinbthebteaching?
Removebthebouterbcannulabcautiouslybforbroutinebcleaning.
,Usebtracheostomybcoversbwhenboutdoors.
Usebsterilebtechniquebwhenbperformingbtracheostomybcarebatbhome.
b Cleansebirritatedbskinbwithbfull-strengthbhydrogenbperoxide.
CorrectbAnswer:
Usebtracheostomybcoversbwhenboutdoors.
Tracheostomybcoversbprotectbthebclient'sbairwaybfrombcoldbair,bdust,bandbotherbairbornebparticles.
IncorrectbAnswer:
Removebthebouterbcannulabcautiouslybforbroutinebcleaning.
Thebouterbcannulabstabilizesbthebairway;btherefore,bthebclientbshouldbneverbremovebitbforbcleaning.
Usebsterilebtechniquebwhenbperformingbtracheostomybcarebatbhome.
Inbthebhomebenvironment,bmedicalbasepsisbwithbcleanbtechniquebisbappropriate.
Cleansebirritatedbskinbwithbfull-strengthbhydrogenbperoxide.
Hydrogenbperoxidebcanbirritatebthebskin;btherefore,bthebnursebshouldbinstructbthebclientbandbfamilybtobu
seb0.9%bsodiumbchloridebirrigationbtobcleansebthebsitebandbpreventbfurtherbirritation.
Abnursebisbcaringbforbabclientbwhobhasbterminalbliverbcancer.bWhichbofbthebfollowingbstatementsbshouldbth
ebnursebidentifybasbanbindicationbthatbthebclientbisbexperiencingbspiritualbdistress?
"WhatbcouldbIbhavebdonebtobdeservebthisbillness?"b
"Ibblamebmedicalbsciencebforbnotbcuringbme."b"Wh
erebisbmybdaughterbatbabtimeblikebthis?"
"WillbIbeverbbeginbtobfeelbinbchargebofbmyblifebagain?"bCorre
ctbAnswer:
"WhatbcouldbIbhavebdonebtobdeservebthisbillness?"
Thebclient'sbterminalbillnessbmightbpromptbthebclientbtobreviewbtheirblifebandbquestionbitsbmeaning.bAbm
anifestationbofbthebclient'sbspiritualbdistressbisbaskingbwhybthisbillnessbisbhappeningbtobthem.
,IncorrectbAnswer:
"Ibblamebmedicalbsciencebforbnotbcuringbme."
Thebbasisbofbmedicinebisbscience,bnotbspirituality.bThisbstatementbdoesbnotbreflectbthebclient'sbconflictbwi
thbspiritualbbeliefs.
"Wherebisbmybdaughterbatbabtimeblikebthis?"
Thisbstatementbreflectsbconflictbinbfamilybrelationships,bnotbwithbthebclient'sbspiritualbbeliefs.
"WillbIbeverbbeginbtobfeelbinbchargebofbmyblifebagain?"
Thisbstatementbreflectsbthebclient'sbfeelingsbofbpowerlessnessbbutbdoesbnotbindicatebabconflictbofbabspirit
ualbnature.
Abnursebisbperformingbabskinbassessmentbforbabclientbwhobexpressesbconcernbaboutbskinbcancer.bWhichbofb
thebfollowingbfindingsbshouldbthebnursebidentifybasbabpotentialbindicationbofbabskinbmalignancy?
AblesionbwithbuniformbpigmentationbN
ewbappearancebofbpetechiae
AbmolebwithbanbasymmetricalbappearancebT
hebpresencebofbabpapule
CorrectbAnswer:
Abmolebwithbanbasymmetricalbappearance
Anbunevenborbasymmetricalbshapebisbabpotentialbindicationbofbabskinbmalignancy.bThisbisbmanifestedbwh
enbpartbofbablesionborbmoleblooksbdifferentbfrombthebotherbpart.
IncorrectbAnswer:
Ablesionbwithbuniformbpigmentation
Variationsbinbpigmentationbarebabpossiblebindicationbofbabskinbmalignancy.bAblesionbwithbuniformbpigme
ntationbisbnotbanbexpectedbindicationbofbabskinbmalignancy.
, Newbappearancebofbpetechiae
Petechiaebarebcapillariesbthatbhavebburstbunderbthebskinbandbappearbasbsmallbspotsbonbthebskin.bAltho
ughbtheybcanbbebindicationsbofbotherbconditions,bpetechiaebarebnotbanbexpectedbindicationbofbabskinbm
alignancy.
Thebpresencebofbabpapule
Papulesbarebsolidbelevationsbthatbarebpalpablebinbthebskinbandbareblessbthanb1bcmb(0.39bin)binbsize.bTheyb
arebnotbanbexpectedbindicationbofbabskinbmalignancy.
Abhomebhealthbnursebisbcompletingbanbadmissionbassessmentbofbanbolderbadultbclientbwhobhasbtheirbcareg
iverbpresent.bWhichbofbthebfollowingbfindingsbshouldbthebnursebidentifybasbpotentialbindicationsbofbelderba
buse?
Thebcaregiverbisbthebclient'sbfinancialbpowerbofbattorney.bTh
ebclientbisbinbabwheelchairbwithbthebwheelsblocked.
Thebclientbreportsbreceivingbabfullbbathbtwicebeachbweek.bT
hebcaregiverbinsistsbonbremainingbinbthebroom.
CorrectbAnswer:
Thebcaregiverbinsistsbonbremainingbinbthebroom.
Abcaregiverbwhobrefusesbtobleavebthebroombduringbanbadmissionbassessmentbcanbbebanbindicationbo
fbpotentialbmistreatmentbofbthebclientbwhobisbreceivingbcare.bThebnursebshouldbevaluatebthebclientbf
orbadditionalbsignsbofbpotentialbmistreatmentbthroughoutbthebadmissionbassessment.
IncorrectbAnswer:
Thebcaregiverbisbthebclient'sbfinancialbpowerbofbattorney.
Havingbabcaregiverbwhobisbthebclient'sbfinancialbpowerbofbattorneyballowsbthebcaregiverbtobperformbnece
ssarybfinancialbtransactionsbonbthebclient'sbbehalf.bThisbitbisbnotbanbindicationbofbelderbabuse.
Thebclientbisbinbabwheelchairbwithbthebwheelsblocked.
b b b b b b b b b
MENTALS ONLINE PRACTICE 2024 B QUESTIONS AND CORREC
b b b b b b b
T ANSWERS GRADED A | 100% CORRECT
b b b b b b
AbnursebisbcaringbforbabclientbwhobisbreceivingbfluidbthroughbabperipheralbIVbcatheter.bWhichbofbthebfollowi
ngbfindingsbatbthebIVbsitebshouldbthebnursebidentifybasbindicatingbinfiltration?
Purulentbexudate
b Warmth
Skinbblanchingb
Bleedingb Correc
tbAnswer:
SkinbBlanching
Skinbblanching,bedema,bandbcoolnessbatbthebIVbsitebindicatebinfiltration.
IncorrectbAnswer:
Purulentbexudate
Exudatebindicatesbinfection,bnotbinfiltration.
Warmth
Warmthbindicatesbphlebitis,bnotbinfiltration.
Bleedingbcanbhavebabmechanicalbcauseborbcanboccurbasbthebresultbofbanticoagulation.bItbisbnotbabsignbofbi
nfiltration.
Abnursebisbteachingbabclientbandbtheirbfamilybhowbtobcarebforbthebclient'sbtracheostomybatbhome.bWhichbofb
thebfollowingbinstructionsbshouldbthebnursebincludebinbthebteaching?
Removebthebouterbcannulabcautiouslybforbroutinebcleaning.
,Usebtracheostomybcoversbwhenboutdoors.
Usebsterilebtechniquebwhenbperformingbtracheostomybcarebatbhome.
b Cleansebirritatedbskinbwithbfull-strengthbhydrogenbperoxide.
CorrectbAnswer:
Usebtracheostomybcoversbwhenboutdoors.
Tracheostomybcoversbprotectbthebclient'sbairwaybfrombcoldbair,bdust,bandbotherbairbornebparticles.
IncorrectbAnswer:
Removebthebouterbcannulabcautiouslybforbroutinebcleaning.
Thebouterbcannulabstabilizesbthebairway;btherefore,bthebclientbshouldbneverbremovebitbforbcleaning.
Usebsterilebtechniquebwhenbperformingbtracheostomybcarebatbhome.
Inbthebhomebenvironment,bmedicalbasepsisbwithbcleanbtechniquebisbappropriate.
Cleansebirritatedbskinbwithbfull-strengthbhydrogenbperoxide.
Hydrogenbperoxidebcanbirritatebthebskin;btherefore,bthebnursebshouldbinstructbthebclientbandbfamilybtobu
seb0.9%bsodiumbchloridebirrigationbtobcleansebthebsitebandbpreventbfurtherbirritation.
Abnursebisbcaringbforbabclientbwhobhasbterminalbliverbcancer.bWhichbofbthebfollowingbstatementsbshouldbth
ebnursebidentifybasbanbindicationbthatbthebclientbisbexperiencingbspiritualbdistress?
"WhatbcouldbIbhavebdonebtobdeservebthisbillness?"b
"Ibblamebmedicalbsciencebforbnotbcuringbme."b"Wh
erebisbmybdaughterbatbabtimeblikebthis?"
"WillbIbeverbbeginbtobfeelbinbchargebofbmyblifebagain?"bCorre
ctbAnswer:
"WhatbcouldbIbhavebdonebtobdeservebthisbillness?"
Thebclient'sbterminalbillnessbmightbpromptbthebclientbtobreviewbtheirblifebandbquestionbitsbmeaning.bAbm
anifestationbofbthebclient'sbspiritualbdistressbisbaskingbwhybthisbillnessbisbhappeningbtobthem.
,IncorrectbAnswer:
"Ibblamebmedicalbsciencebforbnotbcuringbme."
Thebbasisbofbmedicinebisbscience,bnotbspirituality.bThisbstatementbdoesbnotbreflectbthebclient'sbconflictbwi
thbspiritualbbeliefs.
"Wherebisbmybdaughterbatbabtimeblikebthis?"
Thisbstatementbreflectsbconflictbinbfamilybrelationships,bnotbwithbthebclient'sbspiritualbbeliefs.
"WillbIbeverbbeginbtobfeelbinbchargebofbmyblifebagain?"
Thisbstatementbreflectsbthebclient'sbfeelingsbofbpowerlessnessbbutbdoesbnotbindicatebabconflictbofbabspirit
ualbnature.
Abnursebisbperformingbabskinbassessmentbforbabclientbwhobexpressesbconcernbaboutbskinbcancer.bWhichbofb
thebfollowingbfindingsbshouldbthebnursebidentifybasbabpotentialbindicationbofbabskinbmalignancy?
AblesionbwithbuniformbpigmentationbN
ewbappearancebofbpetechiae
AbmolebwithbanbasymmetricalbappearancebT
hebpresencebofbabpapule
CorrectbAnswer:
Abmolebwithbanbasymmetricalbappearance
Anbunevenborbasymmetricalbshapebisbabpotentialbindicationbofbabskinbmalignancy.bThisbisbmanifestedbwh
enbpartbofbablesionborbmoleblooksbdifferentbfrombthebotherbpart.
IncorrectbAnswer:
Ablesionbwithbuniformbpigmentation
Variationsbinbpigmentationbarebabpossiblebindicationbofbabskinbmalignancy.bAblesionbwithbuniformbpigme
ntationbisbnotbanbexpectedbindicationbofbabskinbmalignancy.
, Newbappearancebofbpetechiae
Petechiaebarebcapillariesbthatbhavebburstbunderbthebskinbandbappearbasbsmallbspotsbonbthebskin.bAltho
ughbtheybcanbbebindicationsbofbotherbconditions,bpetechiaebarebnotbanbexpectedbindicationbofbabskinbm
alignancy.
Thebpresencebofbabpapule
Papulesbarebsolidbelevationsbthatbarebpalpablebinbthebskinbandbareblessbthanb1bcmb(0.39bin)binbsize.bTheyb
arebnotbanbexpectedbindicationbofbabskinbmalignancy.
Abhomebhealthbnursebisbcompletingbanbadmissionbassessmentbofbanbolderbadultbclientbwhobhasbtheirbcareg
iverbpresent.bWhichbofbthebfollowingbfindingsbshouldbthebnursebidentifybasbpotentialbindicationsbofbelderba
buse?
Thebcaregiverbisbthebclient'sbfinancialbpowerbofbattorney.bTh
ebclientbisbinbabwheelchairbwithbthebwheelsblocked.
Thebclientbreportsbreceivingbabfullbbathbtwicebeachbweek.bT
hebcaregiverbinsistsbonbremainingbinbthebroom.
CorrectbAnswer:
Thebcaregiverbinsistsbonbremainingbinbthebroom.
Abcaregiverbwhobrefusesbtobleavebthebroombduringbanbadmissionbassessmentbcanbbebanbindicationbo
fbpotentialbmistreatmentbofbthebclientbwhobisbreceivingbcare.bThebnursebshouldbevaluatebthebclientbf
orbadditionalbsignsbofbpotentialbmistreatmentbthroughoutbthebadmissionbassessment.
IncorrectbAnswer:
Thebcaregiverbisbthebclient'sbfinancialbpowerbofbattorney.
Havingbabcaregiverbwhobisbthebclient'sbfinancialbpowerbofbattorneyballowsbthebcaregiverbtobperformbnece
ssarybfinancialbtransactionsbonbthebclient'sbbehalf.bThisbitbisbnotbanbindicationbofbelderbabuse.
Thebclientbisbinbabwheelchairbwithbthebwheelsblocked.
