ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct action the nurse should take first is to evacuate clients from the area (
Choice
C). This is because ensuring the safety of the clients is the top priority in any emergency situation. Evacuating them from the area where smoke is coming from can prevent potential harm or injury. Activating the fire alarm system (
Choice
A) can alert others, but without evacuating clients, they may still be at risk. Obtaining and using a fire extinguisher (
Choice
B) can be considered once clients are safely evacuated. Closing the doors and windows (
Choice
D) may help contain the smoke, but it is not as immediate and crucial as evacuating clients.
Question 2 of 5
A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, 'I'm afraid they will give me drugs that put me to sleep.' Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: I will make sure that we respect your right to refuse medications.
Rationale:
1. This response acknowledges the client's fear and shows empathy.
2. Respecting the client's right to refuse medications aligns with ethical principles of autonomy and informed consent.
3. It promotes a therapeutic nurse-client relationship based on trust and collaboration.
Incorrect
Choices:
A: Implies coercion and disregards the client's autonomy.
B: Assumes the client's fear is related to needing rest, not medication.
C: Does not address the client's fear and may come off as confrontational.
Question 3 of 5
A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: The correct answer is D: Droplet precautions. Bacterial meningitis is spread through respiratory droplets, requiring droplet precautions to prevent transmission. This includes wearing a mask and maintaining a safe distance from the child. Protective environment is for immunocompromised patients, not for bacterial meningitis. Airborne precautions are for diseases spread through airborne particles like TB, not bacterial meningitis. Contact precautions are for diseases spread by direct contact, not through respiratory droplets.
Question 4 of 5
A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?
Correct Answer: D
Rationale: The correct answer is D: Determine the accepted standards for hand hygiene. This step should be taken first to establish a benchmark for evaluating the facility's adherence to hand hygiene protocols. By determining the accepted standards, the task force can objectively assess the facility's performance against industry guidelines. This ensures that the audit process is based on measurable criteria and provides a clear framework for identifying areas needing improvement.
Incorrect
Choices:
A: Taking corrective measures to enforce hand hygiene is premature without first establishing the standards for evaluation.
B: Establishing methods for data collection is important but should come after determining the standards to ensure relevant data is collected.
C: Comparing data without knowing the accepted standards can lead to inaccurate assessments.
E, F, G: No information provided.
Question 5 of 5
A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: The correct answer is C: Apply counterpressure during each contraction. In the latent phase of labor, when the cervix is dilated 2 cm, applying counterpressure on the client's back can help alleviate the back pain by providing physical support and reducing discomfort. This intervention does not involve medication or invasive procedures, making it safe and non-invasive. Administering terbutaline (choice
A) is not indicated for back pain in the latent phase of labor. Placing the client in a warm bath (choice
B) may provide some relief but is not as effective as direct counterpressure. Requesting a pudendal nerve block (choice
D) is unnecessary and invasive at this stage of labor.