ATI RN
ATI RN Fundamentals 2019 with NGN Questions
Extract:
Question 1 of 5
What findings should the nurse expect when assessing an older adult client?
Correct Answer: C
Rationale: A decreased sense of balance is common in older adults due to age-related changes in the vestibular system, increasing fall risk. Pain sensation may decrease, sleep patterns often fragment, incontinence is not exclusively nighttime, and muscle mass typically decreases with age.
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Exposing the abdomen to inspect for changes (e.g., swelling, redness, or discharge) is the first step to identify potential postoperative complications like infection or dehiscence. Auscultation, percussion, and palpation follow to avoid altering findings. Administering pain medication without assessment may mask symptoms of complications.
Question 3 of 5
A nurse is teaching a client who is about to undergo a bowel resection about advance directives.
Correct Answer: C
Rationale: Providing written information about advance directives ensures the client understands their options for medical decision-making. Signing is not mandatory, providers do not sign directives, and a partner’s presence is not required. Advance directives do not expire annually.
Question 4 of 5
A nurse is teaching a newly licensed nurse about the care of a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Placing the client in a private room prevents MRSA spread, as it requires contact precautions. An N95 mask is not needed, gloves are removed before the gown, and visitors do not need masks unless specified. Alcohol-based hand sanitizer is less effective against MRSA; soap and water are preferred.
Question 5 of 5
A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?
Correct Answer: D
Rationale: Tuberculosis is spread via airborne droplet nuclei, requiring airborne precautions (e.g., N95 mask, negative-pressure room). Contact, protective, droplet, and standard precautions alone are inappropriate for TB.