ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: Delirium has an abrupt onset, typically developing within hours or days, characterized by confusion and reduced environmental awareness. It affects perception, has a rapid onset, and can disrupt sleep cycles. Delirium is typically temporary, not permanent, if the underlying cause is addressed.
Question 2 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating bowel sounds first provides critical information about gastrointestinal function, potentially indicating conditions like appendicitis or obstruction. Palpation may alter sounds, and pain medication, antiemetics, or rectal exams address symptoms without diagnosing the cause.
Question 3 of 5
A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Gradually increasing wearing time allows the client to adjust to the hearing aid’s sound levels, preventing discomfort. Turning the volume to maximum can cause distortion, hearing aids last several years, and removing the battery during non-use preserves its life. Cleaning with alcohol can damage the hearing aid.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Having a fire escape plan, using grab bars, and checking medication expiration dates are correct safety measures. Setting the water heater to 140°F risks scalding (120°F is recommended), and taping frayed cords is unsafe; they should be replaced. Installing a motion-sensor light enhances safety but is not listed as a required measure here.
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.