ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
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Question
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1 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the extremity in a dependent position helps dilate veins by increasing blood flow, making them more visible and easier to access for IV insertion. Choosing a proximal site is incorrect, as distal sites are preferred to preserve proximal veins for future use. A cool compress causes vasoconstriction, hindering vein access, and the tourniquet should be placed above the insertion site to engorge the vein. Cleansing with saline is incorrect; an antiseptic like alcohol or chlorhexidine is required.
Question 2 of 5
A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the shallow end of the fracture bedpan under the buttocks ensures proper positioning and comfort for an immobile client. Hyperextending the back causes discomfort, 20 minutes is excessive, and a slightly elevated head may aid defecation. Applying lubricant is unnecessary and may cause slippage.
Question 3 of 5
A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?
Correct Answer: D
Rationale: Scheduling the client as the first procedure minimizes latex exposure in the surgical suite. Stopcock removal and povidone-iodine cleansing are unrelated to latex, powdered gloves contain latex, and latex-based tape would trigger an allergic reaction.
Question 4 of 5
A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Writing down the complete prescription first ensures accuracy and prevents errors. Reading back, documenting, and obtaining a signature follow to confirm and formalize the order. Verifying allergies is important but occurs after receiving the prescription.
Question 5 of 5
A nurse is implementing seizure precautions for a client who has a seizure disorder. Which of the following equipment should the nurse place at the client's bedside? (Select all that apply.)
Correct Answer: C,D,E
Rationale: An oral airway, supplemental oxygen supplies, and oral suction equipment are essential for seizure precautions. An oral airway maintains an open airway during a seizure, oxygen supplies address potential respiratory compromise, and suction equipment prevents aspiration by clearing secretions. Limb restraints are contraindicated, as they can cause injury, and a blood glucose monitor is not a priority during a seizure. Placing pillows around the bed is not standard, as it risks suffocation or injury during a seizure.