ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assistive personnel may not be trained or qualified to provide medical interpretation. Family members may not have the necessary medical knowledge to accurately translate medical information. The nurse should arrange for a video conference with an interpreter who speaks the client's language to provide discharge instructions. This ensures that the client receives accurate and complete information in a language they understand. Simply indicating printed instructions may not ensure understanding.
Question 2 of 5
A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Discrepancies should be reported before administration. Wasted controlled substances should be disposed of per facility policy, not in a sharps container. The count should be verified before removing the dose. Asking a second nurse to witness and sign for wasted portions ensures accountability and compliance with regulations.
Question 3 of 5
A nurse is caring for a client with a suspected stroke. Which of the following actions should the nurse prioritize?
Correct Answer: B
Rationale: Performing a neurological assessment is the priority to determine the extent and type of stroke, guiding treatment. Aspirin requires provider orders, oral fluids are contraindicated due to aspiration risk, and supine positioning may not be optimal.
Question 4 of 5
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The client should be positioned 6.1 m (20 feet) away from the chart, not 3.3 m (10 feet). The nurse should document the smallest line the client can read on the chart, not the largest line. The nurse should instruct the client to begin the assessment with one eye covered, not both eyes open. The nurse should begin by testing the client while they are wearing glasses because this is how the client normally sees.
Question 5 of 5
A nurse is caring for a client with a history of falls. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Ensuring the call light is within reach allows the client to request assistance, reducing fall risk. High bed positions, dim lighting, and non-traction slippers increase fall risk.