ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: B
Rationale: Checking gastric residual volume ensures tolerance of feedings and prevents aspiration. Water sips are not necessary, flushing with sterile saline is not standard, and deep breathing/coughing is unrelated to NG feeding administration.
Question 2 of 5
A nurse is reviewing client confidentiality with a newly licensed nurse. The nurse should identify which of the following examples as a violation of HIPAA?
Correct Answer: C
Rationale: Discussing a client’s transfer with a nurse from another unit violates HIPAA unless the nurse has a need-to-know. Faxing to a provider, teaching with consent, and surgical reports are permissible.
Question 3 of 5
A nurse is assessing a client with suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis (e.g., Rovsing’s sign). Bowel sounds may be decreased, nausea is common, and tachycardia, not bradycardia, is typical due to pain and inflammation.
Question 4 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: PN bags should be changed every 24 hours to reduce infection risk. PN with 20% dextrose requires a central venous line to prevent vein damage, making this an appropriate action. PN and fat emulsions can be administered together. Blood glucose should be monitored regularly, but not necessarily daily.
Question 5 of 5
A nurse is preparing to administer a vaccine to a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Verifying the vaccine expiration date ensures safety and efficacy. The vastus lateralis is typically used for infants, not adults. A 5/8-inch needle is often used for subcutaneous injections, and aspiration is not required for vaccines.