ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: PN bags should be changed every 24 hours to reduce infection risk. PN with 20% dextrose requires a central venous line to prevent vein damage, making this an appropriate action. PN and fat emulsions can be administered together. Blood glucose should be monitored regularly, but not necessarily daily.
Question 2 of 5
A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?
Correct Answer: C
Rationale: Oral contrast is not typically used for an intravenous pyelogram. Pain in the suprapubic region is not a common side effect of an intravenous pyelogram. The nurse should assist the client with a bowel cleansing before an intravenous pyelogram to ensure clear images. Removing metal objects is important for MRI, not an intravenous pyelogram.
Question 3 of 5
A nurse is preparing to administer insulin to a client with diabetes mellitus. Which of the following actions should the nurse take to ensure safe administration?
Correct Answer: C
Rationale: Shaking the insulin vial can denature the insulin; it should be gently rolled if needed. A 25-gauge needle is appropriate, but the key safety step is verifying the insulin type and dose with another nurse to prevent medication errors. Insulin is typically administered in subcutaneous sites like the abdomen or thigh, not the deltoid muscle.
Question 4 of 5
A nurse is assessing a client with suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis (e.g., Rovsing’s sign). Bowel sounds may be decreased, nausea is common, and tachycardia, not bradycardia, is typical due to pain and inflammation.
Question 5 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: PN bags should be changed every 24 hours to reduce infection risk. PN with 20% dextrose requires a central venous line to prevent vein damage, making this an appropriate action. PN and fat emulsions can be administered together. Blood glucose should be monitored regularly, but not necessarily daily.