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 continuous IV fluids through a peripheral IV. Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
Correct Answer: B
Rationale: Fever is not a sign of fluid overload. Crackles in the lungs indicate that the client is experiencing fluid overload. When there is an excess of fluid in the body, it can accumulate in the lungs and cause crackles. Bradycardia (a slow heart rate) is not a sign of fluid overload. Flattened neck veins are not a sign of fluid overload; distended neck veins may be a sign of fluid overload.
Question 2 of 5
A nurse is teaching a client about the use of a metered-dose inhaler (MDI). Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Shaking the inhaler 5–6 times is sufficient. Holding the breath for 10 seconds maximizes medication absorption. Inhaling quickly and deeply ensures proper delivery to the lungs. Waiting 30–60 seconds between puffs is standard for most MDIs.
Question 3 of 5
A nurse is caring for a group of clients whose primary languages are different from the nurse's. For which of the following clients should the nurse provide written materials in the client's primary language?
Correct Answer: A
Rationale: Written materials in the client's primary language are essential for discharge teaching to ensure understanding and compliance. A video in the client's language may suffice for meal services. An interpreter can assist with incentive spirometer teaching. Pain medication administration does not typically require written materials.
Question 4 of 5
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Pulling the lower eyelid down creates a pocket for the drops, ensuring proper administration. Drops should not be instilled on the cornea, the client should look upward, and the dropper tip should remain sterile without needing alcohol wiping.
Question 5 of 5
A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for managing pain. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Dismissing the client’s preference is inappropriate. Herbal remedies require provider approval. Offering a back massage is a non-pharmacological intervention that respects the client’s wishes. Questioning the client’s reasoning may seem confrontational.