ATI RN
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Question 1 of 5
The nurse is interviewing a patient who has a hearing impairment. What technique would be most beneficial in communicating with this patient?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Assessing the communication method preferred by the patient is crucial as it allows the nurse to tailor the communication approach to the patient's needs. 2. By understanding the patient's preferred communication method, the nurse can ensure effective and respectful communication. 3. This approach promotes patient-centered care and fosters a positive therapeutic relationship. 4. Avoiding facial expressions and hand gestures (B) can hinder communication and may not align with the patient's preferences. 5. Requesting a sign language interpreter (C) may be necessary for some patients, but assessing the patient's preferred method should be the initial step. 6. Speaking loudly and with exaggerated facial movement (D) can be ineffective and may not be the patient's preferred method of communication.
Question 2 of 5
A nurse is teaching a patient with hypertension about lifestyle modifications. Which of the following dietary changes should the nurse prioritize?
Correct Answer: B
Rationale: The correct answer is B: Increase potassium intake. Potassium helps to lower blood pressure by counteracting the effects of sodium. This dietary change is crucial for managing hypertension. Increasing sodium intake (choice A) is incorrect as it can lead to increased blood pressure. Increasing fiber intake (choice C) is beneficial for overall health but not specifically for hypertension. Increasing alcohol intake (choice D) is harmful and can worsen hypertension. Prioritizing increasing potassium intake is essential for effectively managing hypertension.
Question 3 of 5
What are the competencies required by a nurse providing end-of-life care?
Correct Answer: A
Rationale: Step 1: Respect and compassion are essential in end-of-life care to support patients emotionally. Step 2: Nurses need to show empathy and understanding towards patients and their families. Step 3: Providing comfort and dignity in the final stages of life is crucial. Step 4: Assessing and intervening (Choice B) is important but not the primary competency in end-of-life care. Step 5: Setting goals and dynamic changes to care (Choice C) may be relevant but not as fundamental as respect and compassion. Step 6: Keeping sad news away (Choice D) goes against transparency and trust-building in end-of-life care.
Question 4 of 5
What is the nurse's priority when caring for a client with a fractured femur?
Correct Answer: A
Rationale: The correct answer is A: Apply a traction splint. The priority for a client with a fractured femur is to immobilize the fracture to prevent further injury and reduce pain. Applying a traction splint helps stabilize the fracture and reduce risk of complications such as nerve or blood vessel damage. Administering pain medication (B) is important but not the priority. Placing the client in a supine position (C) may be needed for comfort but does not address the primary concern of stabilizing the fracture. Administering IV antibiotics (D) is not necessary for a fractured femur unless there are signs of infection.
Question 5 of 5
What is the priority nursing intervention for a client with severe dehydration?
Correct Answer: A
Rationale: The correct answer is A: Administer IV fluids. This is the priority intervention because severe dehydration requires immediate fluid replacement to restore fluid balance and prevent further complications. IV fluids are the most rapid and effective way to rehydrate a severely dehydrated client. Monitoring vital signs (B) and blood pressure (D) are important, but administering IV fluids takes precedence. Encouraging oral fluids (C) may not be sufficient for a client with severe dehydration who may not be able to adequately absorb fluids orally.
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