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 tracheostomy. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Suctioning the tracheostomy as needed maintains airway patency, which is the priority. Tracheostomy tubes are changed per protocol (e.g., weekly), dressings should be clean and moist, and humidification prevents mucus drying.
Question 2 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.
Question 3 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: PN bags should be changed every 24 hours to reduce infection risk. PN with 20% dextrose requires a central venous line to prevent vein damage, making this an appropriate action. PN and fat emulsions can be administered together. Blood glucose should be monitored regularly, but not necessarily daily.
Question 4 of 5
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A barrel-shaped chest is common in COPD due to air trapping. Respiratory rate is typically increased, sputum is often thick or discolored, and oxygen saturation is usually low.
Question 5 of 5
A nurse is caring for a client with a new diagnosis of hypertension. Which of the following dietary recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Processed foods are high in sodium and should be avoided. Limiting sodium to 2,300 mg/day (or less, per guidelines) helps manage hypertension. Dairy can be included in moderation. High-potassium foods (e.g., bananas) help balance sodium and support blood pressure control.