ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 of 5
A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Unplugging the pump immediately eliminates the electrical hazard, preventing shock or fire. Notifying biomedical, obtaining a replacement, and labeling the pump follow after ensuring safety. Continuing to use the pump is unsafe.
Question 2 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 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This is a correct statement. The higher the score, the lower the pressure injury risk, each element ranges from 1 to 4 (except friction/shear, 1 to 3), and age is not a measured element. The scale is used for all clients at risk, not only immobile ones.
Extract:
A nurse is documenting client care.
Question 4 of 5
Which of the following abbreviations should the nurse use?
Correct Answer: C
Rationale: The abbreviation 'BRP' for bathroom privileges is commonly accepted in medical documentation and clearly indicates that a client is permitted to use the bathroom. 'SC' is not standard (SubQ or SQ is preferred for subcutaneous), 'SS' can be confused with other terms and should be written as 'sliding scale,' and 'OJ' is not a medical abbreviation, as 'orange juice' should be written out to avoid confusion. 'QID' means four times daily, not every four hours, and is less relevant here.
Extract:
Question 5 of 5
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?
Correct Answer: B
Rationale: Parenteral nutrition with 20% dextrose is hypertonic and requires a central venous line to prevent peripheral vein damage. PN bags should be changed every 24 hours, blood glucose needs more frequent monitoring, and PN and fat emulsions can be administered together. Using a peripheral IV is incorrect due to the solution’s high osmolarity.