Questions 55

ATI RN

ATI RN Test Bank

ATI RN Fundamentals 2019 II Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?

Correct Answer: B

Rationale: Plain yogurt is liquid at body temperature fitting a full liquid diet. Oatmeal (
A) and scrambled eggs (
C) are solid and applesauce (
D) is semi-solid better for a soft diet.

Question 2 of 5

A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: Holding the bottle with the label in the palm prevents solution from obscuring it. Gloves are applied after opening (
A) lids go face up (
B) and pouring height is 2.5-5 cm (
D).

Question 3 of 5

A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?

Correct Answer: A

Rationale: Dilated pupils occur in the alarm stage due to sympathetic activation. Exhaustion (
B) and depression (
D) occur in the exhaustion stage and bradycardia (
C) in the resistance stage.

Question 4 of 5

A nurse is delegating client care tasks to an assistive personnel. Which of the following tasks should the nurse delegate?

Correct Answer: B

Rationale: Performing a simple dressing change is a routine non-invasive task suitable for assistive personnel with clear instructions. Inserting an NG tube (
A) and changing IV tubing (
D) are complex invasive procedures requiring nursing judgment. Evaluating incision healing (
C) requires professional assessment skills.

Question 5 of 5

A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Flushing with 10 mL water every 2 hours prevents clogging and maintains tube patency. Heating to 105°F (
A) risks mucosal injury residuals should be checked every 6-8 hours (
B) and tubing should be changed every 24 hours (
D) to reduce infection risk.

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