ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
Correct Answer: A
Rationale: Erythema along the vein indicates phlebitis, an inflammation of the vein. Coolness suggests arterial insufficiency, pallor indicates reduced blood flow, and pitting edema is not specific to phlebitis.
Question 2 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Clear amber urine at 30 mL/hr is normal. Incisional pain of 4/10 is expected. Serosanguineous drainage is typical post-surgery. Absence of bowel sounds 6 hours post-surgery may indicate a paralytic ileus, requiring provider notification.
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 hours. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Palpating the abdomen before auscultating can alter findings. Antiemetics may be contraindicated in conditions like bowel obstruction. Pain medication can mask symptoms. Auscultating bowel sounds first provides critical information about bowel function noninvasively.
Question 4 of 5
A nurse is caring for a client with pneumonia. Which of the following interventions should the nurse prioritize?
Correct Answer: A
Rationale: Encouraging fluid intake helps thin respiratory secretions and prevents dehydration in pneumonia. Antipyretics are used for fever but are not the priority. Prone positioning is not standard for pneumonia. Oxygen therapy may be needed, not limited.
Question 5 of 5
A nurse is assessing a client with suspected hypoglycemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Diaphoresis is a common sign of hypoglycemia due to the body’s stress response. Tachycardia, not bradycardia, is typical. Fever is unrelated, and skin is often moist, not dry.