ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the percussion area with a towel reduces discomfort during chest percussion. Drainage should be scheduled before meals, clients should exhale slowly during vibration, percussion avoids the lower back, and a heating pad is inappropriate during percussion.
Question 2 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: A
Rationale: A gastric residual of 300 mL at the end of the shift is unexpected, as residuals exceeding 500 mL every 6 hours may indicate poor gastric emptying or intolerance to feeding, requiring further assessment. Weight gain is expected, a blood glucose level of 110 mg/dL is normal, and one episode of diarrhea is not uncommon with enteral feeding. Abdominal distension would be unexpected but is not listed as a finding here.
Question 3 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the percussion area with a towel reduces discomfort during chest percussion. Drainage should be scheduled before meals, clients should exhale slowly during vibration, percussion avoids the lower back, and a heating pad is inappropriate during percussion.
Question 4 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: D
Rationale: Determining whether the client can afford insulin supplies ensures access to necessary treatment, preventing non-compliance. Other actions (reconciliation form, education materials, specialist contact, follow-up appointment) follow once affordability is confirmed.
Question 5 of 5
A nurse working on a medical-surgical unit is making client assignments for an upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel?
Correct Answer: B
Rationale: Assisting with ambulation is within the scope of assistive personnel, as it involves basic mobility support. Teaching spirometer use, wound irrigation, suppository insertion, and blood glucose checks require a licensed nurse’s expertise.