RN ATI CONCEPT BASED ASSESSMENT LEVEL 1 EXAM 2 LATEST VERSIONS 2024 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

A nurse is planning care for a client who has bacterial meningitis caused by Haemophilus influenza. Which of the following infection control interventions should the nurse include in the plan? - ANSWERS,Place a mask on the client during transport out of the room. (The nurse should implement droplet precautions and standard precautions when caring for a client who has bacterial meningitis caused by H. influenza. The nurse should avoid transporting the client out of the room, if possible. However, if transport is necessary, then placing a mask on the client is an effective infection control intervention.) A nurse is planning care for a newly-admitted school-age child who has rubeola. Which of the following isolation precautions should the nurse plan to initiate? - ANSWERS,Airborne (The nurse should initiate airborne precautions for a client who has varicella, measles (rubeola), or pulmonary tuberculosis. Airborne precautions include a private room with negative pressure airflow, with 6 to 12 air exchanges/hr via a high-efficiency particulate air (HEPA) filtration system.) A nurse is administering ophthalmic solution to a client who has bacterial conjunctivitis. Which of the following actions should the nurse take? - ANSWERS,Have the client lie supine. (This is a comfortable position for the client, and it makes it easy for the nurse to access the eye. It also reduces the risk of the medication escaping through the tear duct.) A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following statements should the nurse make? - ANSWERS,"Exercise in the morning after arising." (Daily exercise has many benefits, including enhancing cardiovascular, psychological, and musculoskeletal health. The nurse should recommend that the client avoid exercising within 2 hr of bedtime to limit stimulation and enhance sleep.) A nurse is preparing to administer enoxaparin subcutaneously to a client who is postoperative following orthopedic surgery. The nurse should plan to administer this medication in which of the following locations? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANSWERS,~A is incorrect. The outer posterior aspect of the upper arms is a site commonly used for subcutaneous injections. However, it is not recommended for administration of low molecular weight heparins such as enoxaparin. The nurse should select another subcutaneous injection site to promote absorption of the enoxaparin. ~B is correct. The nurse should administer low molecular weight heparins, such as enoxaparin, into the anterolateral aspect of the client's abdomen to promote absorption of the medication. Other recommended subcutaneous sites for this medication include the posterolateral aspect of the client's abdomen, the buttocks, and the upper thighs. ~C is incorrect. The abdomen is a site commonly used for subcutaneous injections. However, it is not recommended to administer medications within 5 cm (2 in) of the umbilicus. The nurse should select another site to administer the enoxaparin. A nurse is providing teaching about nutrition management to the parent of an 18-month-old toddler who has phenylketonuria. Which of the following foods should the nurse recommend? - ANSWERS,Baked potato (The nurse should recommend low-protein foods to the parent of a toddler who has phenylketonuria. The nurse should also recommend the parent offer the toddler fruits, juices, and cereals with limited phenylalanine.) A nurse on a medical-surgical unit is caring for a group of clients. The nurse should identify that which of the following types of pain are classified as neuropathic? (Select all that apply.) - ANSWERS,~Spinal nerve pain is correct. Neuropathic pain occurs when there is damage to or impaired function of nerves due to an injury or illness. Spinal nerve pain is a type of neuropathic pain. ~Postherpetic neuralgia pain is correct. Neuropathic pain occurs when there is damage to or impaired function of nerves due to an injury or illness. Postherpetic neuralgia pain is a type of neuropathic pain. ~Phantom limb pain is correct. Neuropathic pain occurs when there is damage to or impaired function of nerves due to an injury or illness. Phantom limb pain is a type of neuropathic pain. ~Fractured hip pain is incorrect. Nociceptive pain occurs when the client's nerves are intact and functioning properly. Damage to surrounding tissue, such as with a fractured hip, causes the client to experience this type of pain. ~Osteoarthritic pain is incorrect. Nociceptive pain occurs when the client's nerves are intact and functioning properly. Chronic damage to joints and surrounding tissue, such as with osteoarthritis, causes the client to experience this type of pain. A nurse is assessing for acute pain in a client who is postoperative. The client has dementia and is nonverbal. Which of the following findings should the nurse identify as a need for administration of a PRN pain medication? - ANSWERS,Rapid breathing (The nurse should identify shallow, rapid breathing as a nonverbal indicator of acute pain. This change in breathing is a sympathetic nervous system response to acute pain. The nurse should further assess the client's respiratory status and administer a PRN pain medication. Other nonverbal indicators of pain include muscle tension, restlessness, and moaning.)