ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has a new prescription for metformin extended-release tablets. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Extended-release metformin must not be crushed to ensure proper drug release, per administration guidelines.
Question 2 of 5
A nurse is providing teaching to a client who is prescribed a gluten-free diet for celiac disease. Which of the following foods should the nurse recommend?
Correct Answer: A
Rationale: Quinoa is naturally gluten-free, making it safe for a celiac disease diet, unlike barley, rye, or wheat.
Question 3 of 5
A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?
Correct Answer: B
Rationale: PEEP increases intrathoracic pressure, which can lead to tension pneumothorax by causing air accumulation in the pleural space, a life-threatening condition requiring close monitoring.
Question 4 of 5
A nurse is assessing a client for allergies prior to administering the influenza vaccine. The nurse should identify that an allergy to which of the following foods is a contraindication to receiving this vaccine?
Correct Answer: B
Rationale: Egg allergy is a contraindication for some influenza vaccines due to egg-based manufacturing, requiring medical review.
Question 5 of 5
A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report?
Correct Answer: C
Rationale: The time of the last pain medication dose is critical for managing post-pneumonectomy pain, ensuring continuity of care.