ATI RN
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ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question
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1 of 5
A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The Braden scale measures six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear. This is a correct statement. The higher the score, the lower the pressure injury risk, each element ranges from 1 to 4 (except friction/shear, 1 to 3), and age is not a measured element. The scale is used for all clients at risk, not only immobile ones.
Question 2 of 5
A nurse is mixing a short-acting insulin and an intermediate-acting insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Injecting air into the intermediate-acting insulin vial first maintains vial pressure and prevents contamination. Air is then injected into the short-acting vial, followed by drawing short-acting insulin, then intermediate-acting insulin, to avoid cross-contamination. Mixing in a separate container is incorrect and risks contamination.
Question 3 of 5
A nurse is caring for a client following a bilateral mastectomy. The client is often tearful and avoids looking at her dressings. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Identifying the impact of the mastectomy on the client’s body image is the first step, as her tearfulness and avoidance suggest emotional distress related to altered appearance. This assessment guides further interventions, such as support groups or counseling, which are secondary. Encouraging dressing changes, providing a mirror, or administering antidepressants may be premature without assessing emotional needs.
Extract:
A nurse is documenting client care.
Question 4 of 5
Which of the following abbreviations should the nurse use?
Correct Answer: C
Rationale: The abbreviation 'BRP' for bathroom privileges is commonly accepted in medical documentation and clearly indicates that a client is permitted to use the bathroom. 'SC' is not standard (SubQ or SQ is preferred for subcutaneous), 'SS' can be confused with other terms and should be written as 'sliding scale,' and 'OJ' is not a medical abbreviation, as 'orange juice' should be written out to avoid confusion. 'QID' means four times daily, not every four hours, and is less relevant here.
Extract:
Question 5 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: B
Rationale: The entry 'New dressing applied as prescribed; no drainage on old dressing' is objective and specific, detailing the procedure and wound status. Other options are vague, subjective, or unrelated to the dressing change.