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 observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?

Correct Answer: B

Rationale: Blood pressure measurement on an arm with a PICC line risks catheter damage, so the left arm is used.

Question 2 of 5

A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Boiling and cooling tap water ensures safe formula preparation by eliminating pathogens, unlike improper storage or dilution.

Question 3 of 5

A nurse is caring for a client who is receiving a unit of packed red blood cells. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Infusing packed red blood cells over 4 hours prevents transfusion reactions and ensures safe administration.

Question 4 of 5

A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?

Correct Answer: C

Rationale: Alcohol-based hand rub is ineffective against C. difficile; soap and water are required, necessitating intervention.

Question 5 of 5

A nurse is caring for a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report to the provider?

Correct Answer: A

Rationale: Cloudy dialysate output indicates possible peritonitis, a serious complication requiring immediate reporting.

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