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 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 2 of 5
A nurse is caring for a client with a pressure ulcer. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Keeping the ulcer moist with a hydrogel dressing promotes healing. Dry gauze can adhere to the wound, hydrogen peroxide can damage tissue, and positioning on the ulcer increases pressure and delays healing.
Question 3 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A decreased sense of balance is common in older adults due to musculoskeletal and sensory changes. Nighttime incontinence is not universal. Pain perception varies, not typically heightened. Sleep patterns may become disrupted, not necessarily increased.
Question 4 of 5
A nurse is caring for a client with a urinary tract infection. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: C
Rationale: Drinking cranberry juice may help prevent recurrent UTIs by reducing bacterial adhesion. Fluid intake should be increased to flush bacteria. Antibiotics should be taken for the full course. Sitz baths can be soothing and are not contraindicated.
Question 5 of 5
A nurse is preparing to perform a sterile dressing change for a client with a surgical wound. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Clean gloves, not sterile, are used to remove old dressings. The sterile field should be opened before donning sterile gloves to maintain sterility. Alcohol-based solutions are not typically used for wound cleansing. Sterile drapes should surround, not cover, the wound. Opening the sterile field after donning gloves ensures a sterile environment.