ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is conducting Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: Weber's test involves placing an activated tuning fork in the middle of the client's forehead to assess hearing loss. High-pitched sounds, mastoid placement (Rinne test), and whispering are not part of Weber's test. Tapping the tuning fork on the ear is incorrect, as it should be struck against a surface to activate.
Question 2 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the extremity in a dependent position helps dilate veins by increasing blood flow, making them more visible and easier to access for IV insertion. Choosing a proximal site is incorrect, as distal sites are preferred to preserve proximal veins for future use. A cool compress causes vasoconstriction, hindering vein access, and the tourniquet should be placed above the insertion site to engorge the vein. Cleansing with saline is incorrect; an antiseptic like alcohol or chlorhexidine is required.
Question 3 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Placing the client in a private room prevents MRSA spread, as it requires contact precautions. An N95 mask is not needed, gloves are removed before the gown, and visitors do not need masks unless specified. Alcohol-based hand sanitizer is less effective against MRSA; soap and water are preferred.
Question 4 of 5
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Correct Answer: A
Rationale: Plain yogurt is appropriate for a full liquid diet, as it is liquid or melts at body temperature. Oatmeal, applesauce, scrambled eggs, and mashed potatoes are not part of a full liquid diet, as they have a thicker consistency.
Question 5 of 5
A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the shallow end of the fracture bedpan under the buttocks ensures proper positioning and comfort for an immobile client. Hyperextending the back causes discomfort, 20 minutes is excessive, and a slightly elevated head may aid defecation. Applying lubricant is unnecessary and may cause slippage.