ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client with a tracheostomy. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Suctioning the tracheostomy as needed maintains airway patency, which is the priority. Tracheostomy tubes are changed per protocol (e.g., weekly), dressings should be clean and moist, and humidification prevents mucus drying.
Question 3 of 5
A nurse is caring for a client who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: B
Rationale: Checking gastric residual volume ensures tolerance of feedings and prevents aspiration. Water sips are not necessary, flushing with sterile saline is not standard, and deep breathing/coughing is unrelated to NG feeding administration.
Question 4 of 5
A nurse is caring for a client with a nasogastric tube. Which of the following actions should the nurse take to prevent aspiration?
Correct Answer: A
Rationale: Keeping the head of the bed elevated 30–45 degrees reduces aspiration risk during NG tube feedings. Flushing with 30 mL of water is typical, supine positioning increases aspiration risk, and tube placement should be checked before each feeding.
Question 5 of 5
A nurse is teaching a client about preventing falls at home. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Removing loose rugs reduces tripping hazards, indicating understanding. Cluttered floors increase fall risk, socks reduce traction, and dim lighting impairs visibility.