ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?
Correct Answer: C
Rationale: Drooling in acute epiglottitis signals airway obstruction, a life-threatening emergency requiring immediate assessment.
Question 2 of 5
A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?
Correct Answer: D
Rationale: Determining accepted hand hygiene standards establishes a benchmark for the audit, guiding subsequent data collection and comparison.
Question 3 of 5
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: D
Rationale: Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects like blurred vision, which the nurse should identify as an adverse effect.
Question 4 of 5
A nurse is assessing a client who has a new diagnosis of heart failure. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Peripheral edema, crackles, and shortness of breath are common in heart failure due to fluid overload and impaired cardiac function.
Question 5 of 5
A nurse is planning care for a client who is at 32 weeks of gestation and has severe preeclampsia. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Side rails up prevent seizures, a risk in severe preeclampsia, ensuring client safety.