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 receiving mechanical ventilation. The low-pressure alarm sounds. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: A low-pressure alarm typically indicates a disconnection or leak, so checking the tubing first addresses the most likely cause.

Question 2 of 5

A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Correct Answer: C

Rationale: Measuring daily weight is a routine task suitable for delegation to an AP, providing data on fluid balance without requiring clinical judgment.

Question 3 of 5

A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?

Correct Answer: C

Rationale: Stating the omission clearly documents the incident factually, aiding investigation without irrelevant details.

Question 4 of 5

A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?

Correct Answer: B

Rationale: Measuring blood pressure in the left arm avoids disrupting a right-sided PICC line, ensuring safety and accuracy.

Question 5 of 5

A nurse is providing teaching to a client who is prescribed a transdermal nicotine patch. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Removing the patch if skin irritation occurs prevents further skin damage and ensures safe use.

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