ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
A nurse is caring for a client.
Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.
Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.
Bilateral breath sounds with crackles and scattered wheezes throughout.
Cough productive for yellow, purulent sputum.
Question 1 of 5
What are the first two actions the nurse should take?
Correct Answer: D
Rationale: The correct answer is D: Obtain sputum culture and chest X-ray. This is the initial step to accurately diagnose the respiratory condition, guiding appropriate treatment. Administering antibiotics and bronchodilators (
A) without knowing the specific pathogen may be ineffective. Initiating airborne precautions and isolation (
B) is premature without confirming the diagnosis. Starting the client on cough suppressants and antihistamines (
C) may mask symptoms and delay proper treatment.
Therefore, obtaining sputum culture and chest X-ray (
D) is crucial in determining the underlying cause of respiratory symptoms.
Extract:
Diagnostic Results Day 3: - Negative: purified protein derivative (PPD) test - Negative: QuantiFERON-TB Gold test A nurse is caring for a client.
Question 2 of 5
Exhibits What are the first two actions the nurse should take?
Correct Answer: C
Rationale: The correct answer is C. Reviewing the client's medical history and assessing for symptoms are crucial initial steps in providing care. This helps the nurse gather important information about the client's health status, potential risk factors, and current symptoms related to TB. By understanding the client's medical history and symptoms, the nurse can make informed decisions about next steps, such as notifying the healthcare provider and initiating treatment if necessary.
Choice A is incorrect because initiating treatment for TB without a comprehensive assessment could be premature and potentially harmful.
Choice B is incorrect as repeating tests without first assessing the client may delay necessary interventions.
Choice D is incorrect as educating the client should follow assessment and treatment, not precede it.
Extract:
Question 3 of 5
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?
Correct Answer: C
Rationale: The correct answer is C: Empty the reservoir. This is the appropriate action because an expanded and half-full Jackson-Pratt drain reservoir indicates an accumulation of fluids, which may lead to complications if not addressed promptly. By emptying the reservoir, you can prevent potential issues such as infection or blockage. Leaving it until the end of the shift (
A) is not advisable as it can lead to worsening of the condition. Removing the drain (
B) without proper assessment or instructions can be harmful to the client. Notifying the surgeon about the blood loss (
D) is important but should be done after taking immediate action to address the issue by emptying the reservoir.
Extract:
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus.
Question 4 of 5
Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Assess the client for adverse reactions. This action should be taken first as it is crucial to ensure the client's safety and well-being. By assessing for adverse reactions, the nurse can promptly identify any immediate threats to the client's health and intervene accordingly. Vital signs (
A) can wait until the client's immediate safety is ensured. Notifying the healthcare provider (
B) and documenting the incident (
C) can be done after the client's assessment. Assessing for adverse reactions takes priority over other actions as it directly addresses the client's immediate needs.
Extract:
A nurse is documenting client care.
Question 5 of 5
Which of the following abbreviations should the nurse use?
Correct Answer: C
Rationale: The correct answer is C: BRP' for bathroom privileges. The nurse should use this abbreviation because it is a commonly accepted and recognized abbreviation in healthcare settings. It is important for healthcare professionals to use standardized abbreviations to ensure clear and accurate communication.
Choice A, SC', is incorrect because the standard abbreviation for subcutaneous is "SQ" or "subQ."
Choice B, SS', is incorrect as the standard abbreviation for a sliding scale is "SS."
Choice D, OJ', is incorrect as the standard abbreviation for orange juice is "OJ." It is crucial for nurses to use correct and universally understood abbreviations to prevent misunderstandings and ensure patient safety.