ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Stopping the transfusion, placing the client in high-Fowler's position, obtaining a diuretic prescription, and administering oxygen manage transfusion-associated circulatory overload (TACO). Epinephrine is for anaphylaxis, not TACO.
Question 2 of 5
A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?
Correct Answer: A
Rationale: Dangling the arm uses gravity to increase blood flow and dilate veins. Stroking the skin, flexing the arm, or applying a cool compress does not effectively dilate veins.
Question 3 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Clear amber urine at 30 mL/hr is normal. Incisional pain of 4/10 is expected. Serosanguineous drainage is typical post-surgery. Absence of bowel sounds 6 hours post-surgery may indicate a paralytic ileus, requiring provider notification.
Question 4 of 5
A nurse is assessing a client with suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis (e.g., Rovsing’s sign). Bowel sounds may be decreased, nausea is common, and tachycardia, not bradycardia, is typical due to pain and inflammation.
Question 5 of 5
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A barrel-shaped chest is common in COPD due to air trapping. Respiratory rate is typically increased, sputum is often thick or discolored, and oxygen saturation is usually low.