ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who is experiencing hypoglycemia. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Administering 15 g of oral glucose is the first action for hypoglycemia to rapidly raise blood sugar levels.
Question 3 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the tuning fork on the head tests sound lateralization, identifying hearing loss in Weber's test.
Question 4 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 5 of 5
A nurse in an acute care facility is caring for a client who has anorexia nervosa. During the first week of care, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Observing for 1 hour post-meals prevents purging, critical for managing anorexia nervosa.