ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing instruction to a client who has diabetes mellitus about foot care. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Applying lotion while avoiding between toes prevents fungal infections. Pumice stones, going barefoot, and heating pads increase injury risk in diabetic clients.
Question 2 of 5
A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: A barrel-shaped chest is common in COPD due to air trapping. Respiratory rate is typically increased, sputum is often thick or discolored, and oxygen saturation is usually low.
Question 3 of 5
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
Correct Answer: C
Rationale: Sequential compression devices prevent thrombosis, not contractures. Abduction splints are for hips. Ankle-foot orthotics maintain neutral foot positioning to prevent plantar flexion contractures. Continuous passive motion machines promote joint mobility, not foot positioning.
Question 4 of 5
A nurse is assessing a client with suspected hypoglycemia. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Diaphoresis is a common sign of hypoglycemia due to the body’s stress response. Tachycardia, not bradycardia, is typical. Fever is unrelated, and skin is often moist, not dry.
Question 5 of 5
A nurse is caring for a client with a new colostomy. Which of the following actions should the nurse teach the client to perform to care for the stoma?
Correct Answer: C
Rationale: Petroleum jelly can interfere with the adhesion of the ostomy appliance. Hydrogen peroxide is too harsh and can damage the stoma tissue. Emptying the ostomy pouch when it is one-third to one-half full prevents leakage and maintains skin integrity. Changing the appliance every 12 hours is too frequent; typically, it is changed every 3–7 days.