ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 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 2 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 3 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Wearing a mask when outside the room is crucial for a client undergoing an allogeneic stem cell transplant due to their immunocompromised state, protecting against infections. Visitors wearing gowns is secondary, semi-private rooms are avoided to reduce infection risk, and negative-airflow rooms are used to protect others, not the patient. Daily antibiotics are not standard unless infection is present.
Question 4 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The ALT test measures liver enzyme levels, indicating liver function or damage. It does not assess blood clot risk, heart performance, kidney function, or blood sugar levels.
Extract:
A nurse is caring for a client.
Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.
Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.
Bilateral breath sounds with crackles and scattered wheezes throughout.
Cough productive for yellow, purulent sputum.
Question 5 of 5
What are the first two actions the nurse should take?
Correct Answer: D
Rationale: Obtaining a sputum culture and chest X-ray are the first steps to diagnose the cause of symptoms suggestive of tuberculosis or other respiratory conditions. Antibiotics/bronchodilators, precautions, suppressants, or bronchoscopy require a confirmed diagnosis.