Questions 179

ATI RN

ATI RN Test Bank

RN Comprehensive Online Practice 2019 B with NGN Questions

Extract:


Question 1 of 5

A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?

Correct Answer: C

Rationale: Stating the omission clearly documents the incident factually, aiding investigation without irrelevant details.

Question 2 of 5

A nurse is assessing a client who is postoperative following a craniotomy. Which of the following findings should the nurse report to the provider immediately?

Correct Answer: A

Rationale: Clear drainage from a craniotomy site may indicate a cerebrospinal fluid leak, a serious complication requiring immediate reporting.

Question 3 of 5

A nurse is caring for a client who is experiencing hypoglycemia. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Administering 15 g of oral glucose is the first action for hypoglycemia to rapidly raise blood sugar levels.

Question 4 of 5

A nurse is admitting a school-age child who has bacterial meningitis. Which of the following types of isolation precautions should the nurse initiate?

Correct Answer: D

Rationale: Bacterial meningitis is spread via respiratory droplets, requiring droplet precautions to prevent transmission.

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.

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