ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Recommending a same-gender interpreter respects cultural sensitivities and enhances comfort, ensuring effective communication. Nodding alone does not confirm understanding, medical terminology may confuse, and questions should be directed to the client via the interpreter. Written translations may not suffice for verbal consent discussions.
Extract:
A nurse is caring for a client. Exhibit 1 Vital Signs 0800: Exhibit 2 Temperature 37.6°C (99.7°F) Blood pressure 108/56 mm Hg Heart rate 66/min Respiratory rate 18/min Pulse oximetry 97% on room air 0830: Temperature 37.5°C (99.5°F) Blood pressure 88/56 mm Hg Heart rate 104/min Respiratory rate 24/min Pulse oximetry 93% on room air
Question 3 of 5
Select the 4 findings that require immediate follow-up.
Correct Answer: B,D,E
Rationale: The findings requiring immediate follow-up are blood pressure (significant drop from 108/56 to 88/56 mm Hg, indicating possible hypotension), pulse oximetry (decrease from 97% to 93%, suggesting reduced oxygen saturation), heart rate (increase from 66/min to 104/min, indicating tachycardia), and level of consciousness (always critical to monitor for changes in clinical status). Temperature and respiratory rate changes are within normal ranges, and skin color/temperature data is not provided. Skin color and temperature do not require immediate follow-up without specific abnormal findings.
Extract:
Question 4 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating bowel sounds first provides critical information about gastrointestinal function, potentially indicating conditions like appendicitis or obstruction. Palpation may alter sounds, and pain medication, antiemetics, or rectal exams address symptoms without diagnosing the cause.
Question 5 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting time spent sitting reduces stasis and promotes circulation, lowering thrombus risk. Crossing legs impedes blood flow, leg exercises should be more frequent, and massaging painful legs risks dislodging a clot. Tight socks may restrict circulation, increasing thrombus risk.