Questions 179

ATI RN

ATI RN Test Bank

RN Comprehensive Online Practice 2019 B with NGN Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. Which of the following interventions should the nurse implement?

Correct Answer: C

Rationale: Counterpressure relieves back pain in early labor, a non-invasive comfort measure for this stage.

Question 2 of 5

A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect to administer?

Correct Answer: A

Rationale: Diazepam, a benzodiazepine, is used to manage alcohol withdrawal symptoms like seizures and agitation, ensuring client safety.

Question 3 of 5

A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following instructions should the nurse include in the discharge teaching?

Correct Answer: B

Rationale: Avoiding heavy lifting prevents strain on the surgical site, promoting healing post-hysterectomy.

Question 4 of 5

A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?

Correct Answer: D

Rationale: A padded clamp occludes the chest tube during transport, preventing pneumothorax, unlike other equipment.

Question 5 of 5

A nurse is caring for a client who is receiving a blood transfusion. The client reports itching and hives. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Itching and hives indicate a possible allergic reaction, so stopping the transfusion first prevents further exposure to the allergen.

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