ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 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: Ensuring the client is free of metal objects prevents interference with X-ray images during an intravenous pyelogram. Bowel cleansing is not routine, pain monitoring is not specific to preparation, and IV contrast is used, not oral. Applying a warm compress is unnecessary and unrelated.
Question 2 of 5
A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, 'I trust my doctor, but I don't understand what is meant by resecting my intestines.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Notifying the provider ensures the client receives clarification from the responsible clinician, ensuring informed consent. Brochures may not suffice, an incident report is inappropriate, the nurse should not explain the procedure, and a family meeting is unrelated to consent clarification.
Question 3 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: D
Rationale: Tuberculosis is spread via airborne droplet nuclei, requiring airborne precautions (e.g., N95 mask, negative-pressure room). Contact, protective, droplet, and standard precautions alone are inappropriate for TB.
Question 4 of 5
A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? (Select all that apply.)
Correct Answer: C,D
Rationale: Having a fire escape plan ensures quick evacuation and reduces panic during a fire. Using grab bars prevents falls in the bathroom, a common hazard. Setting the water heater to 140°F is too high, risking burns, and taping frayed cords is unsafe; they should be replaced. Keeping floors wet increases fall risk, not safety.
Question 5 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Keeping the drainage bag below the level of the bladder prevents urine backflow, reducing infection risk. Taping the catheter to the abdomen is incorrect (it should be secured to the thigh), attaching the bag to bed rails risks elevating it above the bladder, and the bag should be emptied regularly, not just when three-quarters full, to prevent backflow. Cleaning with alcohol is incorrect; soap and water are used to avoid irritation.