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 myocardial infarction. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Administering oxygen via nasal cannula is the priority action for a client with a suspected myocardial infarction to improve oxygenation and reduce cardiac workload. A back massage may be contraindicated due to the need for rest. Ambulation is inappropriate as it increases oxygen demand. Sedatives may be considered later but are not the priority.
Question 2 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 3 of 5
A nurse is caring for a client with pneumonia. Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging fluid intake helps thin respiratory secretions and prevents dehydration in pneumonia. Antipyretics are used for fever but are not the priority. Prone positioning is not standard for pneumonia. Oxygen therapy may be needed, not limited.
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: Erythema along the vein indicates phlebitis, an inflammation of the vein. Coolness suggests arterial insufficiency, pallor indicates reduced blood flow, and pitting edema is not specific to phlebitis.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
Correct Answer: B
Rationale: Discussing prior coping mechanisms is the priority to tailor care to the client’s needs. Support groups, goal setting, and relaxation techniques are important but follow this initial assessment.