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 prednisone for rheumatoid arthritis. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Take the medication with food. Prednisone can irritate the stomach lining, leading to gastrointestinal side effects. Taking it with food can help minimize stomach upset.
Choice A is incorrect as abruptly stopping prednisone can cause withdrawal symptoms.
Choice C is incorrect because prednisone can actually cause weight gain.
Choice D is incorrect as there is no specific need to avoid sunlight while taking prednisone.
Question 2 of 5
A nurse is caring for a client who is postoperative following a hysterectomy. Which of the following instructions should the nurse include in the discharge teaching?
Correct Answer: B
Rationale: The correct answer is B: Avoid lifting objects heavier than 10 pounds. This instruction is important post-hysterectomy to prevent strain on the abdominal area and promote proper healing. Lifting heavy objects can lead to complications such as incisional hernias. Resuming sexual activity after 2 weeks (
A) may vary depending on individual healing progress. Taking hot baths (
C) can increase the risk of infection. Returning to work after 1 week (
D) may not allow adequate time for recovery.
Question 3 of 5
A nurse is assessing a client who is receiving IV antibiotics for a wound infection. The client reports diarrhea. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: All of the above. Diarrhea in a client receiving IV antibiotics may indicate a possible antibiotic-associated diarrhea or colitis. Continuing the antibiotic as prescribed is crucial for treating the underlying infection. Obtaining a stool sample for culture helps identify the causative organism and guide appropriate treatment. Increasing fluid intake is essential to prevent dehydration due to fluid loss from diarrhea.
Therefore, all these actions are necessary to manage the client's condition effectively. The other options are not comprehensive enough to address the potential causes and consequences of diarrhea in this context.
Question 4 of 5
A nurse is providing teaching to a client who is prescribed a beta-blocker for hypertension. Which of the following adverse effects should the nurse instruct the client to report?
Correct Answer: B
Rationale:
Correct
Answer: B - Bradycardia
Rationale:
1. Beta-blockers slow down the heart rate, potentially causing bradycardia.
2. Bradycardia can be a serious side effect that requires medical attention.
3. Clients on beta-blockers should monitor their heart rate regularly.
4. Reporting bradycardia promptly can prevent further complications.
Other
Choices:
A: Dry cough - Not typically associated with beta-blockers.
C: Insomnia - More commonly associated with other classes of medications.
D: Nausea - Occasional side effect but not a priority adverse effect to report.
Question 5 of 5
A nurse is caring for a client who is postoperative following a total knee replacement. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Inability to flex the knee. This finding should be reported to the provider because it could indicate a complication such as joint stiffness or nerve damage post knee replacement surgery. The inability to flex the knee could impede the client's recovery process and mobility. Reporting this to the provider promptly can help address the issue early on.
A: Mild swelling at the incision site is common postoperatively and usually resolves on its own.
B: Pain controlled with analgesics is expected postoperatively and does not indicate a complication.
D: A temperature of 37°C (98.6°F) is within normal range and not concerning in this context.