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 total parenteral nutrition (TPN) through a central venous catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: TPN contains high glucose concentrations, requiring blood glucose checks every 4 hours to detect hyperglycemia, a common complication.
Question 2 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 3 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: B
Rationale: Sudden severe pain, bleeding, contractions, and shock indicate placental abruption, where the placenta separates prematurely, requiring urgent intervention.
Question 4 of 5
A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?
Correct Answer: D
Rationale: Bacterial meningitis is spread via respiratory droplets, requiring droplet precautions to prevent transmission.
Question 5 of 5
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following actions should the nurse take to prevent dislocation of the prosthesis?
Correct Answer: A
Rationale: Keeping the legs abducted prevents adduction, which can dislocate the hip prosthesis post-arthroplasty.