ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?
Correct Answer: B
Rationale: Dilated pupils occur during the alarm reaction stage due to sympathetic nervous system activation in the fight-or-flight response. Depression is not specific, bradycardia contradicts tachycardia in this stage, exhaustion occurs in the final stage, and hypotension is not typical.
Question 2 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Having a fire escape plan, using grab bars, and checking medication expiration dates are correct safety measures. Setting the water heater to 140°F risks scalding (120°F is recommended), and taping frayed cords is unsafe; they should be replaced. Installing a motion-sensor light enhances safety but is not listed as a required measure here.
Question 3 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Exposing the abdomen to inspect for changes (e.g., swelling, redness, or discharge) is the first step to identify potential postoperative complications like infection or dehiscence. Auscultation, percussion, and palpation follow to avoid altering findings. Administering pain medication without assessment may mask symptoms of complications.
Question 4 of 5
A nurse is caring for an infant who is to undergo surgery. The nurse should identify which of the following individuals should sign the consent form?
Correct Answer: D
Rationale: The infant’s 17-year-old mother, as the parent, is legally authorized to sign the consent form for her child’s surgery, unless her parental rights have been terminated. The sibling, grandparent, provider, and daycare provider lack legal authority unless designated as guardians.
Question 5 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Unplugging the pump immediately eliminates the electrical hazard, preventing shock or fire. Notifying biomedical, obtaining a replacement, and labeling the pump follow after ensuring safety. Continuing to use the pump is unsafe.