Questions 89

ATI RN

ATI RN Test Bank

ATI RN Adult Medical Surgical 2019 with NGN Questions

Extract:


Question 1 of 5

A nurse is preparing to assist with the insertion of a non-tunneled central venous catheter for a client who is malnourished. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Confirming catheter position with a blood sample ensures proper placement. Valsalva maneuver, elevated bed, and chlorhexidine cleansing are appropriate, not coughing, lowering bed, or hydrogen peroxide.

Question 2 of 5

A home health nurse is assessing the home environment of a client who has cystic fibrosis. Which of the following equipment should the nurse plan to recommend?

Correct Answer: B

Rationale: A chest physiotherapy vest loosens mucus in cystic fibrosis, improving lung function. Peak flow meters are for asthma, NG tubes for gastric issues, and chest tubes for pleural conditions.

Question 3 of 5

A nurse is providing discharge teaching to a client who has an ileostomy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: C

Rationale: Loose stools are expected with an ileostomy due to bypassing the colon. Emptying the bag frequently, avoiding laxatives, and limiting high-fiber foods prevent complications.

Question 4 of 5

A nurse is assessing a client who is preoperative and reports an allergy to bananas. The nurse should recognize that the client is at risk for an allergic cross-reactivity to which of the following substances?

Correct Answer: A

Rationale: Banana allergies increase latex allergy risk due to latex-fruit syndrome. Anesthetics, adhesive tape, and povidone-iodine are not typically cross-reactive.

Question 5 of 5

A nurse is caring for a group of clients. The nurse should obtain a blood pressure reading using only the left extremity from which of the following clients?

Correct Answer: B

Rationale: Blood pressure measurement on an arm with an arteriovenous fistula risks damage; the left arm is used instead. PICC lines, weakness, or Bell's palsy do not contraindicate BP measurement.

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