Questions and Answers to Pass RN ATI Adult Medical Surgical Proctored
Exam with NGN: 100 Questions and Answers
A nurse is caring for a client who requires protective isolation following a hematopoietic stem cell transplant. Which of the following interventions should the nurse
implement to protect the client from infection?"
The options are:
• Make sure the client’s room has positive-pressure airflow.
• Make sure dietary plates and utensils are disposable.
• Wear an N95 respirator when providing direct client care.
• Monitor the client’s temperature once every 6 hr.
Correct Answer:
The correct answer is "Make sure the client’s room has positive-pressure airflow."
Rationale:
Positive-pressure airflow is used in protective isolation to prevent outside airborne particles from entering the room, thus reducing the risk of infection for
immunocompromised clients, such as those undergoing a hematopoietic stem cell transplant. This measure ensures that air flows out of the room rather than into it,
keeping contaminants away.
The other options, such as using disposable utensils and monitoring temperature, are helpful but do not provide the level of protection needed for clients in
protective isolation. An N95 respirator is used for clients in negative-pressure rooms (e.g., for those with airborne infections like tuberculosis), not for protective
isolation.
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"A nurse is assessing a client who is postoperative following an open reduction and internal fixation
(ORIF) of the femur. Which of the following assessments should be the nurse's priority?"
The options are:
• Neurovascular assessment
• Braden scale
• Pain assessment
• Morse Fall Risk scale
Correct Answer:
The correct answer is "Neurovascular assessment."
Rationale:
Following an open reduction and internal fixation (ORIF) of the femur, the priority assessment is neurovascular status. This is crucial to assess
circulation, sensation, and movement distal to the surgical site, ensuring that there is no compromise in blood flow or nerve function. While pain
assessment and fall risk are important, neurovascular compromise could lead to permanent damage, making it the priority in this situation. The
Braden scale assesses risk for skin breakdown, which is not the immediate priority in this case.
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"A nurse is preparing to administer medications to a female client. The nurse has reviewed the client’s
medical record. Based on the findings, complete the following sentence by using the list of options."
The prompt reads:
"The nurse should clarify the prescription for [Select] due to the client’s [Select]."
Diagnosis:
Hypertension