ATI RN
ATI RN Fundamentals 2019 with NGN 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: Recommending a same-gender interpreter respects cultural sensitivities and enhances comfort, ensuring effective communication. Nodding alone does not confirm understanding, medical terminology may confuse, and questions should be directed to the client via the interpreter. Written translations may not suffice for verbal consent discussions.
Question 2 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives.
Correct Answer: C
Rationale: Providing written information about advance directives ensures the client understands their options for medical decision-making. Signing is not mandatory, providers do not sign directives, and a partner’s presence is not required. Advance directives do not expire annually.
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 is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Applying lotion to soften calluses, avoiding between toes, prevents infection in diabetic clients. Soaking softens skin but risks infection, corn pads require careful use, OTC medications are unsafe, and trimming corns with a razor risks injury and infection.
Question 5 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: D
Rationale: Keeping the drainage bag below the level of the bladder prevents urine backflow, reducing infection risk. Taping the catheter to the abdomen is incorrect (it should be secured to the thigh), attaching the bag to bed rails risks elevating it above the bladder, and the bag should be emptied regularly, not just when three-quarters full, to prevent backflow. Cleaning with alcohol is incorrect; soap and water are used to avoid irritation.