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ATI RN Fundamentals 2019 II Questions

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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: C

Rationale: The entry about the new dressing provides clear objective data about the procedure and wound condition. MSO (
A) lacks dose/route specificity "seems" and "appear" (
B) are subjective and no changes (
D) fails to document current assessment.

Question 2 of 5

A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?

Correct Answer: C

Rationale: The 17-year-old mother can consent if emancipated (e.g. as a parent) or a mature minor. Providers (
A) grandparents (
B) and siblings (
D) lack legal authority unless they have custody or guardianship.

Question 3 of 5

A nurse in an emergency department is assessing a client who reports right lower quadrant pain nausea and vomiting for the past 48 hr. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Auscultating bowel sounds first assesses gastrointestinal function and helps diagnose conditions like appendicitis. Antiemetics (
A) and pain medication (
B) treat symptoms but don’t assess and palpation (
C) risks rupturing an inflamed appendix.

Question 4 of 5

A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer: A B C D E

Rationale: Inspection (
A) comes first followed by auscultation (
B) percussion (
C) light palpation (
D) and deep palpation (E) to avoid altering findings.

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: A

Rationale: Unplugging the pump first ensures safety by eliminating electrical hazards. Labeling (
B) replacing (
C) and notifying (
D) follow after securing safety.

Similar Questions

A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus 200 mL emesis 40 mL voided urine and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?

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