ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Exposing the abdomen to inspect for changes (e.g., swelling, redness, or discharge) is the first step to identify potential postoperative complications like infection or dehiscence. Auscultation, percussion, and palpation follow to avoid altering findings. Administering pain medication without assessment may mask symptoms of complications.
Question 2 of 5
A nurse is preparing to administer medication to a client. Which of the following should the nurse use as a client identifier?
Correct Answer: C
Rationale: A photograph is a reliable client identifier, ensuring medication is administered to the correct person. Room numbers, bed numbers, age, and insurance cards are not specific enough and can lead to errors.
Question 3 of 5
A nurse is reviewing the medical record of a newly admitted client. Which of the following laboratory values should the nurse report to the provider?
Correct Answer: A
Rationale: Potassium 5.8 mEq/L is above the normal range (3.6–5.2 mEq/L) and indicates hyperkalemia, which can cause cardiac arrhythmias and requires immediate reporting. Sodium (135–145 mEq/L), magnesium (1.7–2.2 mEq/L), and calcium (8.5–10.2 mg/dL) values are within normal ranges. Glucose 110 mg/dL is normal and does not require reporting.
Question 4 of 5
A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Gradually increasing wearing time allows the client to adjust to the hearing aid’s sound levels, preventing discomfort. Turning the volume to maximum can cause distortion, hearing aids last several years, and removing the battery during non-use preserves its life. Cleaning with alcohol can damage the hearing aid.
Question 5 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.