ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer medication to a client. Which of the following identifiers should the nurse use to identify the client?
Correct Answer: A
Rationale: The correct answer is A: Telephone number. The nurse should use the client's telephone number as an identifier because it is unique to the individual and easily verifiable. This helps ensure that the medication is administered to the correct person, reducing the risk of errors. The telephone number is personal information that the client is likely to know and can confirm.
Incorrect choices:
B: Place of birth - Not a unique identifier and can be known by others.
C: Driver license number - Not all clients have driver's licenses, not universally available.
D: Room number - Can change frequently and not a reliable long-term identifier.
Question 2 of 5
A nurse is teaching about safe handling of formula to a client who is postpartum and chooses to bottle feed her newborn. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C. Boiling tap water for 2 minutes and cooling it before mixing it with powdered formula ensures the water is safe for the baby, as it kills harmful bacteria. A: Keeping concentrated formula in the fridge for 3 days after opening can lead to spoilage. B: Diluting ready-to-feed formula with water dilutes essential nutrients and can harm the baby's growth. D: Ensuring bottles do not contain BPA is important, but it is not directly related to safe formula handling.
Question 3 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: B
Rationale: The correct answer is B: Placental abruption. This is supported by the sudden, severe abdominal pain, moderate vaginal bleeding, persistent uterine contractions, low blood pressure, and rigid abdomen. Placental abruption occurs when the placenta partially or completely separates from the uterine wall before delivery, leading to severe complications for both the mother and the baby. The symptoms described are classic signs of placental abruption, requiring immediate medical attention.
Incorrect choices:
A: Uterine rupture typically presents with sudden, severe abdominal pain but is not usually associated with vaginal bleeding or low blood pressure.
C: Placenta previa presents with painless vaginal bleeding, not sudden, severe abdominal pain.
D: Amniotic fluid embolus is a rare and life-threatening condition characterized by sudden respiratory distress and cardiovascular collapse, not the symptoms described in the question.
Question 4 of 5
A nurse is reviewing the results of laboratory screenings for a 9-month-old infant. Which of the following results should the nurse report to the provider?
Correct Answer: A
Rationale: The correct answer is A: Lead 18 mcg/dL. This result is concerning as lead levels above 5 mcg/dL are considered elevated in children. Lead poisoning can have serious health consequences, especially in infants. Reporting this to the provider is crucial for further evaluation and intervention.
Choices B, C, and D are within normal ranges for a 9-month-old infant and do not require immediate reporting to the provider. Hemoglobin, iron, and hematocrit levels are important indicators of anemia but are not the priority in this case where lead toxicity is a significant concern.
Question 5 of 5
A nurse is creating an incident report due to an accidental omission of a client's dressing change during the previous shift. Which of the following statements should the nurse document on the incident report form?
Correct Answer: C
Rationale: The correct answer is C: "Prescribed dressing change was accidentally omitted during the previous shift." This statement clearly and accurately documents the incident, specifying the nature of the error and when it occurred. It provides essential information for quality improvement and accountability.
Incorrect choices:
A: This choice does not specify that the omission was accidental, and the appearance of the dressing is irrelevant to the error.
B: This choice is close but lacks the crucial information that the omission occurred during the previous shift.
D: This choice is not relevant to the incident being reported and does not provide necessary details.