ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?
Correct Answer: C
Rationale: Alcohol-based hand rub is ineffective against C. difficile spores, requiring soap and water, so intervention is needed.
Question 2 of 5
A nurse is assessing a client who has a chest tube in place following thoracic surgery. Which of the following findings indicates a need for intervention?
Correct Answer: D
Rationale: Absence of breath sounds on the affected side suggests a pneumothorax or tube dislodgement, requiring immediate intervention.
Question 3 of 5
A nurse is caring for a client who has a new prescription for lisinopril. Which of the following laboratory values should the nurse monitor?
Correct Answer: C
Rationale: Lisinopril, an ACE inhibitor, can cause hyperkalemia and renal impairment, so monitoring potassium and creatinine is essential.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Morning stiffness, joint swelling, and fatigue are hallmark symptoms of rheumatoid arthritis due to autoimmune inflammation.
Question 5 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Cleansing the meatus with antiseptic solution is the first step to prevent infection during catheter insertion.