ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Diagnostic Results Day 3: - Negative: purified protein derivative (PPD) test - Negative: QuantiFERON-TB Gold test A nurse is caring for a client.
Question 1 of 5
Exhibits What are the first two actions the nurse should take?
Correct Answer: C
Rationale: With negative TB tests, the nurse should review the client’s medical history and reassess symptoms to identify other potential causes (e.g., pneumonia, cancer). Initiating TB treatment, repeating tests, TB education, or ordering a CT scan are inappropriate without further assessment. Tuberculosis Symptoms
Extract:
Question 2 of 5
A nurse is assisting in the use of a fracture bedpan for a client who is immobile due to a cast. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Placing the shallow end of the fracture bedpan under the buttocks ensures proper positioning and comfort for an immobile client. Hyperextending the back causes discomfort, 20 minutes is excessive, and a slightly elevated head may aid defecation. Applying lubricant is unnecessary and may cause slippage.
Question 3 of 5
A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Placing the extremity in a dependent position helps dilate veins by increasing blood flow, making them more visible and easier to access for IV insertion. Choosing a proximal site is incorrect, as distal sites are preferred to preserve proximal veins for future use. A cool compress causes vasoconstriction, hindering vein access, and the tourniquet should be placed above the insertion site to engorge the vein. Cleansing with saline is incorrect; an antiseptic like alcohol or chlorhexidine is required.
Question 4 of 5
A nurse is providing teaching to a client who is at risk for thrombus formation. Which of the following statements made by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Limiting time spent sitting reduces stasis and promotes circulation, lowering thrombus risk. Crossing legs impedes blood flow, leg exercises should be more frequent, and massaging painful legs risks dislodging a clot. Tight socks may restrict circulation, increasing thrombus risk.
Question 5 of 5
What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?
Correct Answer: A
Rationale: Assault is an intentional act causing fear of imminent harm, such as threatening restraints. Defamation involves false statements harming reputation, false imprisonment restricts movement, battery involves harmful touching, and negligence involves failure to meet care standards, none of which apply here.