ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Indwelling catheters increase infection risk. An alternating pressure mattress redistributes pressure to prevent ulcers, making it appropriate. Cornstarch can promote fungal infections. Repositioning every 2 hours, not 4, is standard.
Question 2 of 5
A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the hand-off report?
Correct Answer: B
Rationale: Including the effectiveness of the last pain medication dose ensures continuity of pain management. Last bath, visitor numbers, and vital sign frequency are less critical for immediate care.
Question 3 of 5
A nurse is teaching a client about warfarin therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Avoiding large amounts of spinach is correct due to its vitamin K content. Reporting bleeding and taking warfarin consistently are appropriate. Doubling the dose if missed is incorrect and dangerous; the client should consult the provider.
Question 4 of 5
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
Correct Answer: D
Rationale: The client's room number is not a reliable method to confirm the client's identity because multiple clients may be assigned to the same room, and there is a possibility of room changes or transfers. The client's admitting diagnosis is not a suitable method to confirm identity as it does not provide specific information about the individual patient. The name of the client's next of kin is not a reliable method to confirm the client's identity as it refers to a family member or emergency contact, not the client themselves. The nurse should plan to use the client's telephone number to confirm their identity, as it is a unique identifier. Note: Typically, client identity is confirmed using two identifiers such as name and date of birth, but based on the provided options, the telephone number is the most reliable.
Question 5 of 5
A nurse is caring for a client with a seizure disorder. Which of the following actions should the nurse take during a seizure?
Correct Answer: C
Rationale: Turning the client to the side during a seizure maintains airway patency and prevents aspiration. Restraining limbs can cause injury, tongue depressors are dangerous, and oral medications cannot be given during a seizure.