ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is preparing to obtain informed consent from a client who speaks a different language than the nurse and is scheduled for surgery. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A same-gender interpreter reduces discomfort for sensitive procedures. Medical terminology (
A) confuses addressing the interpreter (
C) disrespects the client and nodding (
D) is unreliable for comprehension.
Question 2 of 5
A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?
Correct Answer: D
Rationale: A gastric residual of 300 mL indicates delayed gastric emptying risking aspiration and is unexpected. Weight gain (
A) shows nutritional adequacy glucose 110 mg/dL (
B) is normal and one diarrhea episode (
C) is a common side effect.
Question 3 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The Braden scale measures six elements (sensory perception moisture activity mobility nutrition friction/shear). Elements range 1-4 (
A) age isn’t included (
C) and higher scores indicate lower risk (
D).
Question 4 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Keeping the drainage bag below the bladder prevents urine backflow and infection. Attaching to side rails (
B) risks trauma the bag should be emptied when half full (
C) and taping to the abdomen (
D) may obstruct flow; the thigh is correct for females.
Question 5 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: B
Rationale: Airborne precautions are required for tuberculosis transmitted via small respiratory particles. Droplet (
A) is for larger particles protective (
C) is for immunocompromised clients and contact (
D) is for surface pathogens like MRSA.