ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a client about a low-residue diet. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: A low-residue diet minimizes intestinal residue. White rice is low in fiber and appropriate. Whole-grain bread, broccoli, and raw carrots are high-fiber foods that should be avoided.
Question 3 of 5
A nurse is teaching a client about warfarin therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Avoiding large amounts of spinach is correct due to its vitamin K content. Reporting bleeding and taking warfarin consistently are appropriate. Doubling the dose if missed is incorrect and dangerous; the client should consult the provider.
Question 4 of 5
A nurse is caring for a client with pneumonia. Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging fluid intake helps thin respiratory secretions and prevents dehydration in pneumonia. Antipyretics are used for fever but are not the priority. Prone positioning is not standard for pneumonia. Oxygen therapy may be needed, not limited.
Question 5 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A decreased sense of balance is common in older adults due to musculoskeletal and sensory changes. Nighttime incontinence is not universal. Pain perception varies, not typically heightened. Sleep patterns may become disrupted, not necessarily increased.