ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is providing teaching about preventing back strain to the caregiver of a client who is immobile and requires assistance to reposition in bed. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: Twisting at the waist can strain back muscles. Keeping legs straight increases back strain. Tightening abdominal muscles stabilizes the spine and prevents back strain, indicating understanding. Placing the bed in the lowest position is unrelated to repositioning technique.
Question 2 of 5
A nurse is caring for a client with a chest tube. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Continuous bubbling in the water seal chamber indicates an air leak, requiring immediate reporting. Securing the tube, moderate drainage, and mild pain are expected or manageable.
Question 3 of 5
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
Correct Answer: A
Rationale: Erythema along the vein indicates phlebitis, an inflammation of the vein. Coolness suggests arterial insufficiency, pallor indicates reduced blood flow, and pitting edema is not specific to phlebitis.
Question 4 of 5
A nurse is caring for a client with a history of falls. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: B
Rationale: Ensuring the call light is within reach allows the client to request assistance, reducing fall risk. High bed positions, dim lighting, and non-traction slippers increase fall risk.
Question 5 of 5
A nurse at a long-term care facility is providing change-of-shift report to an oncoming nurse about a client who has shingles. Which of the following information should the nurse include in the report?
Correct Answer: A
Rationale: Including the type of transmission-based precautions (e.g., contact precautions for shingles) is critical to prevent infection spread. Routine vital sign times, health history, and visitor numbers are less specific to shingles management.