ATI RN
ATI RN Fundamentals 2019 with NGN - Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client about warfarin therapy. Which of the following statements by the client indicates a need for further teaching?
Correct Answer: D
Rationale: Avoiding large amounts of spinach is correct due to its vitamin K content. Reporting bleeding and taking warfarin consistently are appropriate. Doubling the dose if missed is incorrect and dangerous; the client should consult the provider.
Question 2 of 5
A nurse is caring for a client who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the formula?
Correct Answer: B
Rationale: Checking gastric residual volume ensures tolerance of feedings and prevents aspiration. Water sips are not necessary, flushing with sterile saline is not standard, and deep breathing/coughing is unrelated to NG feeding administration.
Question 3 of 5
A nurse is caring for a client who is postoperative following a cholecystectomy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Clear amber urine at 30 mL/hr is normal. Incisional pain of 4/10 is expected. Serosanguineous drainage is typical post-surgery. Absence of bowel sounds 6 hours post-surgery may indicate a paralytic ileus, requiring provider notification.
Question 4 of 5
A nurse is providing teaching to a client about the administration of clotrimazole vaginal suppositories. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The client should continue the medication for the full course, even if symptoms resolve. The client can lie on their back or side; no specific left-side requirement exists. Lubricant is not typically needed for vaginal suppositories. Placing the suppository as far inside as possible ensures effective delivery to the infection site.
Question 5 of 5
A nurse is caring for a client with a suspected myocardial infarction. Which of the following actions should the nurse prioritize?
Correct Answer: A
Rationale: Administering oxygen via nasal cannula is the priority action for a client with a suspected myocardial infarction to improve oxygenation and reduce cardiac workload. A back massage may be contraindicated due to the need for rest. Ambulation is inappropriate as it increases oxygen demand. Sedatives may be considered later but are not the priority.