ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: B
Rationale: Sudden severe pain, bleeding, contractions, and shock indicate placental abruption, where the placenta separates prematurely, requiring urgent intervention.
Question 2 of 5
A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?
Correct Answer: C
Rationale: Stating the omission clearly documents the incident factually, aiding investigation without irrelevant details.
Question 3 of 5
A nurse is assessing a client who is receiving IV antibiotics for a wound infection. The client reports diarrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Diarrhea may indicate C. difficile infection, so continuing antibiotics, obtaining a stool culture, and increasing fluids are all appropriate actions.
Question 4 of 5
A nurse is reviewing the ABG values of a client. The client has a pH of 7.2, PaCO2 of 60 mm Hg, and HCO3 of 25 mEq/L. The nurse should identify that the client has which of the following acid-base imbalances?
Correct Answer: C
Rationale: The high PaCO2 (>45 mm Hg) and low pH (<7.35) indicate respiratory acidosis, as the client is retaining carbon dioxide, causing an acidic blood state.
Question 5 of 5
A nurse is caring for a client who is in labor and has a diagnosis of sickle cell anemia. The client's laboratory results indicate a hemoglobin level of 9 g/dL. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Sickle cell anemia with a hemoglobin of 9 g/dL indicates anemia, increasing the risk of hypoxia during labor. Administering oxygen at 2 L/min improves oxygen delivery to tissues, addressing the low hemoglobin's impact.