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: Cleaning the meatus first reduces infection risk by eliminating bacteria before catheter insertion, per sterile technique.
Question 2 of 5
A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication?
Correct Answer: D
Rationale: Amitriptyline, a tricyclic antidepressant, causes anticholinergic effects like blurred vision, which the nurse should identify as an adverse effect.
Question 3 of 5
A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective?
Correct Answer: A
Rationale: A hemoglobin level of 14.9 g/dL indicates improved oxygen-carrying capacity, the primary goal of RBC transfusion.
Question 4 of 5
A nurse manager in a long-term care facility is having difficulty with staffing for weekend shifts and is planning to implement some changes to the scheduling procedure. Which of the following actions should the nurse manager take first?
Correct Answer: A
Rationale: Forming a committee to investigate staffing issues gathers critical insights, ensuring informed changes and staff involvement.
Question 5 of 5
A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?
Correct Answer: B
Rationale: Documenting advance directives ensures providers respect the client's treatment preferences, as required by the Patient Self-Determination Act.