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 suspected fracture. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Immobilizing the affected limb is the priority to prevent further injury or displacement. Pain medication, warm compresses, and X-rays follow after stabilization.
Question 2 of 5
A nurse is performing a skin assessment on an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Reduced sweat production is expected in older adults due to decreased gland activity. Skin elasticity decreases, oil production reduces, and the outer layer thins with age.
Question 3 of 5
A nurse is caring for a client who is immunocompromised. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Hand hygiene with alcohol-based rub before contact reduces infection risk in immunocompromised clients. Semiprivate rooms increase exposure, masks may not be sufficient, and sterile gloves are unnecessary for routine perineal care.
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 assessing a client with suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis (e.g., Rovsing’s sign). Bowel sounds may be decreased, nausea is common, and tachycardia, not bradycardia, is typical due to pain and inflammation.