ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with a central venous catheter. Which of the following actions should the nurse take to prevent infection?
Correct Answer: D
Rationale: Cleansing the site with chlorhexidine reduces infection risk. Dressings should be changed regularly (e.g., every 7 days or if soiled), flushing protocols vary, and sterile gloves are used for dressing changes.
Question 2 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 3 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.
Question 4 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 5 of 5
A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?
Correct Answer: B
Rationale: Multiple showers are unnecessary. Clients should arrange for an adult to drive them home due to anesthesia effects. Clear liquids should stop 2 hours before surgery. Makeup can interfere with monitoring and should be avoided.