ATI RN
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ATI RN Fundamentals 2019 II Questions
Extract:
Question
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1 of 5
A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?
Correct Answer: B
Rationale: Thirst indicates hyperglycemia due to dehydration from high glucose. Confusion (
A) cold skin (
C) and shakiness (
D) are signs of hypoglycemia.
Question 2 of 5
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the Weber's test?
Correct Answer: C
Rationale: Placing the tuning fork on the forehead assesses sound lateralization for the Weber test. High-pitched sounds (
A) and mastoid placement (
B) are for the Rinne test and whispering (
D) is for the whisper test.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Cleansing the stoma with saline prevents irritation and infection. Cotton applicators (
A) risk mucosal damage tap water (
C) introduces contaminants and ties should allow two fingers (
D) to avoid pressure.
Question 4 of 5
A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?
Correct Answer: B
Rationale: Performing a simple dressing change is a routine non-invasive task suitable for assistive personnel with clear instructions. Inserting an NG tube (
A) and changing IV tubing (
D) are complex invasive procedures requiring nursing judgment. Evaluating incision healing (
C) requires professional assessment skills.
Question 5 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Unplugging the pump first ensures safety by eliminating electrical hazards. Labeling (
B) replacing (
C) and notifying (
D) follow after securing safety.