Questions 179

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ATI RN Test Bank

RN Comprehensive Online Practice 2019 B with NGN Questions

Extract:


Question 1 of 5

A nurse on an inpatient unit is caring for a client who has schizophrenia and recently started taking risperidone. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Risperidone can cause orthostatic hypotension, increasing fall risk, so implementing fall precautions is essential for client safety.

Question 2 of 5

A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?

Correct Answer: C

Rationale: Applying a cold pack for 30 minutes hourly may impair circulation in a diabetic client, increasing tissue damage risk, so this prescription needs clarification.

Question 3 of 5

A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Cocaine exposure causes newborn irritability due to withdrawal effects, unlike hypotonicity or other findings.

Question 4 of 5

A charge nurse is observing an assistive personnel perform delegated tasks. Which of the following actions by the AP requires the charge nurse to intervene?

Correct Answer: C

Rationale: Alcohol-based hand rub is ineffective against C. difficile; soap and water are required, necessitating intervention.

Question 5 of 5

A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?

Correct Answer: B

Rationale: Blood pressure measurement on an arm with a PICC line risks catheter damage, so the left arm is used.

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