ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Question 1 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: B
Rationale: The entry 'New dressing applied as prescribed; no drainage on old dressing' is objective and specific, detailing the procedure and wound status. Other options are vague, subjective, or unrelated to the dressing change.
Question 2 of 5
When preparing medication from a vial for a subcutaneous injection for a client, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Holding the vial with the top upward while injecting air maintains pressure and prevents fluid leakage. Bubbles at the plunger are not relevant, injecting air with the needle in fluid risks contamination, and a 45° angle is for injection, not dosage verification. A filter needle is used for ampules, not vials.
Question 3 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: A
Rationale: Thirst is a hallmark symptom of hyperglycemia due to dehydration from osmotic diuresis. Confusion can occur in both hyper- and hypoglycemia, shakiness and sweating are typical of hypoglycemia, and cool skin is not specific to hyperglycemia.
Question 4 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the percussion area with a towel reduces discomfort during chest percussion. Drainage should be scheduled before meals, clients should exhale slowly during vibration, percussion avoids the lower back, and a heating pad is inappropriate during percussion.
Question 5 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This is a correct statement. The higher the score, the lower the pressure injury risk, each element ranges from 1 to 4 (except friction/shear, 1 to 3), and age is not a measured element. The scale is used for all clients at risk, not only immobile ones.