ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is assessing a client with heart failure. Which of the following findings should the nurse expect?
Correct Answer: C
Rationale: Peripheral edema is a common sign of heart failure due to fluid retention. Bradycardia is less common; tachycardia is more typical. Weight gain, not loss, occurs due to fluid accumulation. Lung sounds may include crackles, not clear sounds.
Question 4 of 5
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
Correct Answer: C
Rationale: Sequential compression devices prevent thrombosis, not contractures. Abduction splints are for hips. Ankle-foot orthotics maintain neutral foot positioning to prevent plantar flexion contractures. Continuous passive motion machines promote joint mobility, not foot positioning.
Question 5 of 5
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The client should be positioned 6.1 m (20 feet) away from the chart, not 3.3 m (10 feet). The nurse should document the smallest line the client can read on the chart, not the largest line. The nurse should instruct the client to begin the assessment with one eye covered, not both eyes open. The nurse should begin by testing the client while they are wearing glasses because this is how the client normally sees.