ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is prescribed alendronate for osteoporosis. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Taking alendronate with a full glass of water and remaining upright prevents esophageal irritation, a key administration instruction.
Question 2 of 5
A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
Correct Answer: D
Rationale: A padded clamp occludes the chest tube during transport, preventing pneumothorax, unlike other equipment.
Question 3 of 5
A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Cleansing the meatus with antiseptic solution is the first step to prevent infection during catheter insertion.
Question 4 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: B
Rationale: Sudden severe pain, bleeding, contractions, and shock indicate placental abruption, where the placenta separates prematurely, requiring urgent intervention.
Question 5 of 5
A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: C
Rationale: Measuring daily weight is a routine task suitable for delegation to an AP, providing data on fluid balance without requiring clinical judgment.