ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D (All of the above). In heart failure, the heart is unable to pump effectively, leading to fluid backup in the body. Peripheral edema (
A) occurs due to fluid retention, crackles in the lungs (
B) are heard due to pulmonary congestion, and shortness of breath (
C) results from fluid accumulation in the lungs.
Therefore, all these findings are expected in a client with heart failure. The other choices are incorrect as they do not encompass the comprehensive manifestations of heart failure.
Question 2 of 5
A nurse is caring for a client who is postoperative following a lumbar laminectomy. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: The correct answer is A: Avoid bending at the waist. This instruction is crucial post-lumbar laminectomy to prevent strain on the surgical site and reduce risk of complications. B is incorrect as a firm mattress is recommended. C is incorrect as heavy lifting should be avoided. D is incorrect as hot showers can increase risk of infection.
Question 3 of 5
A nurse is providing teaching to a client who is prescribed alendronate for osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Take the medication with a full glass of water. Alendronate should be taken with a full glass of water first thing in the morning on an empty stomach to enhance absorption. This is crucial for its effectiveness in treating osteoporosis.
Choice B is incorrect as the client should not lie down for at least 30 minutes after taking alendronate to prevent esophageal irritation.
Choice C is incorrect as alendronate should be taken on an empty stomach.
Choice D is incorrect as the tablet should not be crushed, as it may decrease its effectiveness.
Question 4 of 5
A nurse is caring for a client who is experiencing hypoglycemia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer 15 g of oral glucose. In cases of hypoglycemia, the immediate priority is to raise the client's blood sugar levels quickly to prevent potential complications such as loss of consciousness or seizures. Administering oral glucose provides a rapid and effective way to elevate blood sugar levels. Checking the blood glucose level (
B) is important but not immediate in a critical situation like hypoglycemia. Offering a high-protein snack (
C) may not act fast enough to address the low blood sugar levels. Notifying the provider (
D) can be done after the immediate intervention of administering oral glucose.
Question 5 of 5
A nurse is assessing a client who has a new diagnosis of diverticulitis. Which of the following dietary recommendations should the nurse include?
Correct Answer: A
Rationale: The correct answer is A: Increase fiber intake. Fiber helps prevent constipation, a common symptom of diverticulitis. It also promotes bowel regularity and prevents flare-ups.
Choice B is incorrect because dairy products are not directly related to diverticulitis.
Choice C is incorrect as a low-residue diet may worsen symptoms by reducing fiber intake.
Choice D is incorrect as adequate fluid intake is crucial to prevent dehydration and maintain bowel health in diverticulitis.