ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: A light carbohydrate snack before bedtime increases tryptophan levels, promoting sleep. Naps can disrupt nighttime sleep, hot cocoa contains caffeine, and exercising close to bedtime increases alertness. Loud music is stimulating and disrupts sleep.
Question 2 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Determining whether the client can afford insulin supplies ensures access to necessary treatment, preventing non-compliance. Other actions (reconciliation form, education materials, specialist contact, follow-up appointment) follow once affordability is confirmed.
Question 3 of 5
A nurse is providing teaching for a client who is scheduled for an allogeneic stem cell transplant. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Wearing a mask when outside the room is crucial for a client undergoing an allogeneic stem cell transplant due to their immunocompromised state, protecting against infections. Visitors wearing gowns is secondary, semi-private rooms are avoided to reduce infection risk, and negative-airflow rooms are used to protect others, not the patient. Daily antibiotics are not standard unless infection is present.
Question 4 of 5
How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?
Correct Answer: D
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL. Net fluid intake: 700 mL - 260 mL = 440 mL. 700 mL is incorrect, as it represents gross intake, not net.
Question 5 of 5
A nurse is caring for a client who reports that she has insomnia. Which of the following interventions is appropriate for the nurse to recommend?
Correct Answer: A
Rationale: A light carbohydrate snack before bedtime increases tryptophan levels, promoting sleep. Naps can disrupt nighttime sleep, hot cocoa contains caffeine, and exercising close to bedtime increases alertness. Loud music is stimulating and disrupts sleep.