ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?
Correct Answer: A
Rationale: Plain yogurt is appropriate for a full liquid diet, as it is liquid or melts at body temperature. Oatmeal, applesauce, scrambled eggs, and mashed potatoes are not part of a full liquid diet, as they have a thicker consistency.
Question 3 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: B
Rationale: The entry 'New dressing applied as prescribed; no drainage on old dressing' is objective and specific, detailing the procedure and wound status. Other options are vague, subjective, or unrelated to the dressing change.
Question 4 of 5
How should the nurse record the net fluid intake for a client who received 0.9% sodium chloride 600 mL IV infusion, cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus, 200 mL emesis, 40 mL voided urine, and 20 mL urine from straight catheterization?
Correct Answer: D
Rationale:
Total intake: 600 mL (sodium chloride) + 100 mL (cefazolin) = 700 mL.
Total output: 200 mL (emesis) + 40 mL (voided urine) + 20 mL (catheterized urine) = 260 mL. Net fluid intake: 700 mL - 260 mL = 440 mL. 700 mL is incorrect, as it represents gross intake, not net.
Question 5 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.