ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is postoperative following a colostomy. Which of the following findings indicates a need for intervention?
Correct Answer: C
Rationale: Absence of flatus in the colostomy bag may indicate an obstruction, requiring intervention to prevent complications.
Question 2 of 5
A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that the client is experiencing fluid overload?
Correct Answer: C
Rationale: Dyspnea indicates fluid overload as excess fluid in the lungs impairs breathing, a key symptom to monitor.
Question 3 of 5
A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?
Correct Answer: C
Rationale: Alcohol-based hand rub is ineffective against C. difficile spores, requiring soap and water, so intervention is needed.
Question 4 of 5
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?
Correct Answer: C
Rationale: Applying a cold pack for 30 minutes hourly may impair circulation in a diabetic client, increasing tissue damage risk, so this prescription needs clarification.
Question 5 of 5
A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report?
Correct Answer: C
Rationale: The time of the last pain medication dose is critical for managing post-pneumonectomy pain, ensuring continuity of care.