ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
Correct Answer: A
Rationale: Discussing prior coping mechanisms is the priority, as it helps the nurse understand how the client has managed stress, guiding tailored emotional support for their terminal diagnosis. Relaxation techniques, support groups, goal-setting, or psychiatric referral are secondary.
Question 2 of 5
A nurse is preparing to administer several medications via NG tube to a client who is receiving continuous tube feeding. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Diluting each crushed medication with sterile water prevents clogging and ensures proper delivery. Combining with formula, using insufficient flush volume (5 mL vs. 15–30 mL), mixing medications, or stopping feeding for 2 hours risks interactions or tube blockage.
Question 3 of 5
A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Applying lotion to soften calluses, avoiding between toes, prevents infection in diabetic clients. Soaking softens skin but risks infection, corn pads require careful use, OTC medications are unsafe, and trimming corns with a razor risks injury and infection.
Question 4 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Determining whether the client can afford insulin supplies ensures access to necessary treatment, preventing non-compliance. Other actions (reconciliation form, education materials, specialist contact, follow-up appointment) follow once affordability is confirmed.
Question 5 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Keeping the drainage bag below the level of the bladder prevents urine backflow, reducing infection risk. Taping the catheter to the abdomen is incorrect (it should be secured to the thigh), attaching the bag to bed rails risks elevating it above the bladder, and the bag should be emptied regularly, not just when three-quarters full, to prevent backflow. Cleaning with alcohol is incorrect; soap and water are used to avoid irritation.