ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: B
Rationale: The entry 'New dressing applied as prescribed; no drainage on old dressing' is objective and specific, detailing the procedure and wound status. Other options are vague, subjective, or unrelated to the dressing change.
Question 2 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.
Question 3 of 5
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Securing tracheostomy ties to allow one finger to fit snugly ensures the tube is stable without being too tight, preventing skin breakdown or dislodgement. Normal saline is not typically used for stoma cleaning (sterile solutions are preferred), soaking the outer cannula in soapy water is not recommended, and cotton tip applicators risk leaving fibers in the cannula. Applying a warm compress is incorrect, as it may promote infection or irritation.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
Correct Answer: A
Rationale: Discussing prior coping mechanisms is the priority, as it helps the nurse understand how the client has managed stress, guiding tailored emotional support for their terminal diagnosis. Relaxation techniques, support groups, goal-setting, or psychiatric referral are secondary.
Question 5 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.