ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about a low-residue diet. Which of the following foods should the nurse recommend?
Correct Answer: C
Rationale: A low-residue diet minimizes intestinal residue. White rice is low in fiber and appropriate. Whole-grain bread, broccoli, and raw carrots are high-fiber foods that should be avoided.
Question 2 of 5
A nurse is assessing a client with suspected appendicitis. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Rebound tenderness in the right lower quadrant is a classic sign of appendicitis (e.g., Rovsing’s sign). Bowel sounds may be decreased, nausea is common, and tachycardia, not bradycardia, is typical due to pain and inflammation.
Question 3 of 5
A nurse is caring for a client with a new diagnosis of hypertension. Which of the following dietary recommendations should the nurse include in the teaching?
Correct Answer: B
Rationale: Processed foods are high in sodium and should be avoided. Limiting sodium to 2,300 mg/day (or less, per guidelines) helps manage hypertension. Dairy can be included in moderation. High-potassium foods (e.g., bananas) help balance sodium and support blood pressure control.
Question 4 of 5
A nurse is planning to provide discharge instructions to a client who does not speak the same language as the nurse. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Assistive personnel may not be trained or qualified to provide medical interpretation. Family members may not have the necessary medical knowledge to accurately translate medical information. The nurse should arrange for a video conference with an interpreter who speaks the client's language to provide discharge instructions. This ensures that the client receives accurate and complete information in a language they understand. Simply indicating printed instructions may not ensure understanding.
Question 5 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.