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: Placental abruption presents with severe pain, bleeding, contractions, hypotension, and a rigid abdomen, indicating placental separation.
Question 2 of 5
A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the following laboratory tests should the nurse monitor?
Correct Answer: B
Rationale: Heparin's anticoagulant effect is monitored via aPTT, which assesses clotting time and ensures therapeutic dosing.
Question 3 of 5
A nurse is caring for a client who is postoperative following a spinal fusion. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: A
Rationale: Using a firm mattress supports the spine post-fusion, promoting proper alignment and healing.
Question 4 of 5
A nurse is caring for a client during a follow up visit at a gastrointestinal clinic. Which of the following interventions should the nurse implement? Select all that apply.
Correct Answer: A,B,C
Rationale: For a client with sickle cell disease:
A) Hourly peripheral circulation checks detect vaso-occlusive crises.
B) Mouth assessments every 8 hours monitor for ulcers or infections.
C) Humidified oxygen and IV fluids prevent sickling and dehydration. D and E are incorrect as they may worsen circulation or are unnecessary.
Question 5 of 5
A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Applying counterpressure during contractions effectively relieves back pain in early labor, a non-pharmacological intervention.