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 an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Applying lotion to soften calluses, avoiding between toes, prevents infection in diabetic clients. Soaking softens skin but risks infection, corn pads require careful use, OTC medications are unsafe, and trimming corns with a razor risks injury and infection.
Question 2 of 5
A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Covering the percussion area with a towel reduces discomfort during chest percussion. Drainage should be scheduled before meals, clients should exhale slowly during vibration, percussion avoids the lower back, and a heating pad is inappropriate during percussion.
Question 3 of 5
A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Writing down the complete prescription first ensures accuracy and prevents errors. Reading back, documenting, and obtaining a signature follow to confirm and formalize the order. Verifying allergies is important but occurs after receiving the prescription.
Question 4 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Auscultating bowel sounds first provides critical information about gastrointestinal function, potentially indicating conditions like appendicitis or obstruction. Palpation may alter sounds, and pain medication, antiemetics, or rectal exams address symptoms without diagnosing the cause.
Question 5 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: The ALT test measures liver enzyme levels, indicating liver function or damage. It does not assess blood clot risk, heart performance, kidney function, or blood sugar levels.