ATI RN FUNDAMENTALS RN EXAM TESTBANK 402QUESTIONS AND ANSWERS WITH RATIONALES Latest Update 2023/2024 GRADED A+ SCORES

ATI RN FUNDAMENTALS RN EXAM TESTBANK 402QUESTIONS AND ANSWERS WITH RATIONALES Latest Update 2023/2024 GRADED A+ SCORES A nurse on a medical-surgical unit observes smoke billowing from a client’s room.Which of the following actions should the nurse take first? A. Close the door to the client’s room -incorrect: The nurse should close the doors and windows in the immediate vicinity to help contain the fire; however, this is not the first action the nurse should take. B. Evacuate the client from the room -The acronym RACE can help nurses remember the order of the actions to take in the event of a fire. The components of RACE are rescue, activate, confine, and extinguish. The first priority is rescuing or removing the client from immediate danger. The second action is activation of the fire alarm system. The third action is confining the fire by closing doors and windows. The final action is extinguishing the fire, if possible, using an available fire extinguisher. If attempts to extinguish a fire could compromise the safety of clients or staff members, the nurse should await the arrival of emergency fire personnel. C. Sound the fire alarm -incorrect: The nurse should sound the fire alarm to summon fire professionals to put out the fire and ensure safety in the facility; however, this is not the first action the nurse should take. D. Activate the fire extinguisher -incorrect: The nurse should attempt to extinguish the fire safely if possible; however, this is not the first action the nurse should take. A nurse is admitting a client who will undergo a craniotomy. During the planning phase of the nursing process, which of the following actions should the nurse take? A. Establish client outcomes -The planning phase of the nursing process includes developing goals and outcomes that help the nurse create the client’s plan of care. B. Collect information about past health problems -incorrect: The nurse should collect information about the client’s past health problems during the assessment phase of the nursing process. C. Determine whether the client has met specific goals -incorrect: The nurse should determine whether the client has met goals during the evaluation phase of the nursing process. D. Identify the client’s specific health problems -incorrect: The nurse should identify the client’s specific health problems during the analysis phase of the nursing process. ATI FUNDAMENTALS RN EXAM TESTBANK 402QUESTIONS AND ANSWERS WITH RATIONALES Latest Update 2023/2024 GRADED A+ SCORES • A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen? A. Instruct the client to defecate into the toilet bowl -incorrect: The nurse should have the client defecate into a bedpan or a container for stool collection. The toilet water can dilute and contaminate the liquid specimen. B. Transfer the specimen to a sterile container -incorrect: The nurse should place the stool specimen in a clean container using a tongue depressor. C. Refrigerate the collected specimen -incorrect: The nurse should send the collected stool specimen immediately to the laboratory after labeling the specimen properly to prevent contamination with microorganisms and keep the specimen from getting cold. D. Place the stool specimen collection container in a biohazard bag -The nurse should place the specimen collection container in a biohazard bag with the client label on the container and the bag for easy identification. This will also prevent contamination with microorganisms. • A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take? A. Hyper oxygenate the client before suctioning -The nurse should use a manual resuscitation bag to hyper oxygenate the client for several minutes prior to suctioning. B. Insert the catheter during exhalation -incorrect: The nurse should insert the catheter during inhalation C. Apply suction during insertion of the catheter -incorrect: Applying suction while inserting the catheter increases the risk of damage to the tracheal mucosa and removes oxygen from the airways. D. Apply suction for no more than 15 secs -incorrect: The nurse should apply suction for no more than 10 seconds