ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for managing pain. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Dismissing the client’s preference is inappropriate. Herbal remedies require provider approval. Offering a back massage is a non-pharmacological intervention that respects the client’s wishes. Questioning the client’s reasoning may seem confrontational.
Question 2 of 5
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
Correct Answer: C
Rationale: Sequential compression devices prevent thrombosis, not contractures. Abduction splints are for hips. Ankle-foot orthotics maintain neutral foot positioning to prevent plantar flexion contractures. Continuous passive motion machines promote joint mobility, not foot positioning.
Question 3 of 5
A nurse is teaching a client about managing constipation. Which of the following recommendations should the nurse include?
Correct Answer: B
Rationale: Drinking 2–3 L of fluid daily promotes bowel regularity. Increasing fiber, not decreasing, helps. Laxatives should be used sparingly, and physical activity stimulates bowel motility.
Question 4 of 5
A nurse is caring for a client with a seizure disorder. Which of the following actions should the nurse take during a seizure?
Correct Answer: C
Rationale: Turning the client to the side during a seizure maintains airway patency and prevents aspiration. Restraining limbs can cause injury, tongue depressors are dangerous, and oral medications cannot be given during a seizure.
Question 5 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.