ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 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 hours. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Palpating the abdomen before auscultating can alter findings. Antiemetics may be contraindicated in conditions like bowel obstruction. Pain medication can mask symptoms. Auscultating bowel sounds first provides critical information about bowel function noninvasively.
Question 2 of 5
A nurse is caring for a client with a central venous catheter. Which of the following actions should the nurse take to prevent infection?
Correct Answer: D
Rationale: Cleansing the site with chlorhexidine reduces infection risk. Dressings should be changed regularly (e.g., every 7 days or if soiled), flushing protocols vary, and sterile gloves are used for dressing changes.
Question 3 of 5
A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?
Correct Answer: A
Rationale: Dangling the arm uses gravity to increase blood flow and dilate veins. Stroking the skin, flexing the arm, or applying a cool compress does not effectively dilate veins.
Question 4 of 5
A nurse is caring for a client with a new diagnosis of asthma. Which of the following medications should the nurse expect to administer during an acute attack?
Correct Answer: B
Rationale: Inhaled albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks to relieve bronchospasm. Oral corticosteroids are for long-term control, montelukast prevents attacks, and cromolyn is for prophylaxis.
Question 5 of 5
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pulling the lower eyelid down creates a pocket for the drops, ensuring proper administration. Drops should not be instilled on the cornea, the client should look upward, and the dropper tip should remain sterile without needing alcohol wiping.