ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
Correct Answer: A
Rationale: A hemoglobin level of 14.9 g/dL indicates improved oxygen-carrying capacity, the primary goal of RBC transfusion.
Question 2 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 3 of 5
A nurse is teaching a client who has a new prescription for metformin extended-release tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Avoiding crushing extended-release metformin ensures proper drug release, indicating the client's understanding of administration instructions.
Question 4 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: D
Rationale: A padded clamp is essential to occlude the chest tube during transport or system changes, preventing pneumothorax.
Question 5 of 5
While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A high-pressure alarm indicates an airway obstruction, so suctioning the airway is the first action to clear potential blockages.