ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Cleansing the meatus with antiseptic solution is the first step to prevent infection during catheter insertion.
Question 2 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: Sudden severe pain, bleeding, contractions, and shock indicate placental abruption, where the placenta separates prematurely, requiring urgent intervention.
Question 3 of 5
A nurse is assessing a client who is postoperative following a colostomy. Which of the following findings indicates a need for intervention?
Correct Answer: C
Rationale: Absence of flatus in the colostomy bag may indicate an obstruction, requiring intervention to prevent complications.
Question 4 of 5
A nurse is assessing a client for allergies prior to administering the influenza vaccine. The nurse should identify that an allergy to which of the following foods is a contraindication to receiving this vaccine?
Correct Answer: B
Rationale: Egg allergy is a contraindication for some influenza vaccines due to egg-based manufacturing, requiring medical review.
Question 5 of 5
A school nurse is using the Weber's test to check a child's hearing acuity. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing a tuning fork on the head assesses sound lateralization in Weber's test, identifying conductive or sensorineural hearing loss.