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 chest tube. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: The correct answer is A: Continuous bubbling in the water seal chamber. This finding indicates an air leak in the system, which can lead to lung collapse. Immediate reporting is crucial for prompt intervention.
Choice B is incorrect as securing the chest tube with tape is appropriate.
Choice C is within normal limits for drainage.
Choice D is incorrect as mild pain at the insertion site is expected.
Question 2 of 5
A nurse is teaching a client about managing constipation. Which of the following recommendations should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Drink 2-3 L of fluid daily. Adequate hydration helps soften stool, making it easier to pass and preventing constipation. Fluid intake is essential for maintaining bowel regularity. Option A is incorrect because increasing dietary fiber, not decreasing, helps prevent constipation. Option C is incorrect as daily laxative use can lead to dependency and should be avoided unless prescribed by a healthcare provider. Option D is incorrect because physical activity actually helps stimulate bowel function and prevent constipation.
Question 3 of 5
A nurse is caring for a client with a new diagnosis of asthma. Which of the following medications should the nurse expect to administer during an acute attack?
Correct Answer: B
Rationale: The correct answer is B: Inhaled albuterol. During an acute asthma attack, bronchodilation is crucial to relieve airway constriction and improve breathing. Albuterol is a short-acting beta agonist that acts quickly to relax the smooth muscles in the airways, providing immediate relief. Oral corticosteroids (choice
A) are used for long-term control, not for immediate relief during an acute attack. Montelukast (choice
C) is a leukotriene receptor antagonist used for maintenance therapy, not for acute attacks. Cromolyn sodium (choice
D) is a mast cell stabilizer that is used for prevention, not for acute symptom relief.
Question 4 of 5
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
Correct Answer: A
Rationale: The correct answer is A: Erythema along the path of the vein. Phlebitis is inflammation of the vein, which can manifest as redness (erythema), warmth, tenderness, and swelling along the vein. Erythema indicates increased blood flow and inflammation at the site, common signs of phlebitis. Coolness (
B) and pallor (
C) are not typical signs of phlebitis but may indicate compromised circulation. Pitting edema (
D) is more indicative of fluid overload or venous insufficiency, not phlebitis.
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: B
Rationale: The correct answer is B: Eat a light carbohydrate snack before bedtime. Carbohydrates can increase tryptophan levels, promoting the production of serotonin, which can help regulate sleep. A light snack can prevent hunger, which can disrupt sleep.
Choice A of taking a nap daily can worsen insomnia by disrupting the sleep cycle.
Choice C of exercising before bedtime can increase alertness and make it harder to fall asleep.
Choice D of drinking hot cocoa before bedtime is not recommended as it contains caffeine, which can interfere with sleep.