NGN ATI COMPREHENSIVE EXIT RETAKE
EXAM TEST BANK 350 MULTIPLECHOICE
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES
Fundamentals of Nursing (Questions 1–50)
1. A nurse is preparing to administer an enteral feeding to a client who has an
NG tube in place. Which of the following actions is the nurse's highest
assessment priority before performing this procedure?
A. Check how long the feeding container has been open
B. Verify the expiration date of the feeding formula
C. Confirm the placement of the NG tube
D. Assess the client's bowel sounds
Correct Answer: C
Rationale: The highest priority before administering an enteral feeding is to
confirm proper placement of the NG tube. Incorrect placement can lead to
aspiration pneumonia, which is a lifethreatening complication. While the
other options are important aspects of safe administration, verifying tube
placement is the priority assessment.
,2. A client is receiving a blood transfusion and reports chills, back pain, and
dyspnea. Which of the following actions should the nurse take first?
A. Administer diphenhydramine
B. Slow the transfusion rate
C. Stop the transfusion
D. Notify the healthcare provider
Correct Answer: C
Rationale: The client is exhibiting signs of a transfusion reaction (chills, back
pain, dyspnea). The immediate priority is to stop the transfusion to prevent
further complications. After stopping the transfusion, the nurse should
maintain IV access with normal saline, notify the provider, and monitor vital
signs.
3. A nurse is caring for a client with a new diagnosis of diabetes mellitus. The
client asks, "Why do I need to check my blood sugar so often?" Which of the
following responses by the nurse is most appropriate?
A. "Your healthcare provider ordered it, so you need to follow the
instructions."
B. "Frequent monitoring helps us adjust your medications to keep your blood
sugar within a safe range."
C. "You only need to check it if you feel symptoms of high or low blood sugar."
D. "Checking it often will help you lose weight."
,Correct Answer: B
Rationale: This response provides the client with a clear, therapeutic
explanation of the purpose of blood glucose monitoring. It empowers the
client to understand the rationale behind the treatment plan and promotes
adherence. The other options are either dismissive, incorrect, or
nontherapeutic.
4. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A. Use sterile gloves and sterile supplies throughout the procedure
B. Clean the meatus from the rectum toward the urethra
C. Insert the catheter until urine flows, then advance 1 to 2 inches further
D. Inflate the balloon with sterile water before checking for urine return
Correct Answer: A
Rationale: Indwelling catheter insertion requires sterile technique to prevent
infection. The nurse should use sterile gloves and sterile supplies. The
perineum should be cleaned from the urethra toward the rectum (not the
reverse) to avoid introducing bacteria. The catheter should be inserted until
urine flows, then advanced an additional 1 to 2 inches to ensure the balloon is
in the bladder before inflation.
, 5. A nurse is providing discharge teaching to a client who is postoperative
following a hip arthroplasty. Which of the following statements by the client
indicates a need for further teaching?
A. "I should avoid crossing my legs."
B. "I can bend forward to pick up items from the floor."
C. "I need to use a raised toilet seat."
D. "I should not sleep on my operative side."
Correct Answer: B
Rationale: After hip arthroplasty, clients should avoid bending forward at the
waist (flexion greater than 90 degrees) to prevent dislocation of the hip
prosthesis. The other statements are correct: avoiding crossing legs, using a
raised toilet seat, and not sleeping on the operative side are all appropriate
postoperative precautions.
6. A nurse is assessing a client who has a pressure injury on the sacrum. The
wound bed is moist with granulation tissue, and there is no slough or eschar.
Which of the following wound dressings should the nurse expect to use?
A. Dry gauze dressing
B. Hydrocolloid dressing
C. Alginate dressing
D. Transparent film dressing
Correct Answer: C
EXAM TEST BANK 350 MULTIPLECHOICE
QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES
Fundamentals of Nursing (Questions 1–50)
1. A nurse is preparing to administer an enteral feeding to a client who has an
NG tube in place. Which of the following actions is the nurse's highest
assessment priority before performing this procedure?
A. Check how long the feeding container has been open
B. Verify the expiration date of the feeding formula
C. Confirm the placement of the NG tube
D. Assess the client's bowel sounds
Correct Answer: C
Rationale: The highest priority before administering an enteral feeding is to
confirm proper placement of the NG tube. Incorrect placement can lead to
aspiration pneumonia, which is a lifethreatening complication. While the
other options are important aspects of safe administration, verifying tube
placement is the priority assessment.
,2. A client is receiving a blood transfusion and reports chills, back pain, and
dyspnea. Which of the following actions should the nurse take first?
A. Administer diphenhydramine
B. Slow the transfusion rate
C. Stop the transfusion
D. Notify the healthcare provider
Correct Answer: C
Rationale: The client is exhibiting signs of a transfusion reaction (chills, back
pain, dyspnea). The immediate priority is to stop the transfusion to prevent
further complications. After stopping the transfusion, the nurse should
maintain IV access with normal saline, notify the provider, and monitor vital
signs.
3. A nurse is caring for a client with a new diagnosis of diabetes mellitus. The
client asks, "Why do I need to check my blood sugar so often?" Which of the
following responses by the nurse is most appropriate?
A. "Your healthcare provider ordered it, so you need to follow the
instructions."
B. "Frequent monitoring helps us adjust your medications to keep your blood
sugar within a safe range."
C. "You only need to check it if you feel symptoms of high or low blood sugar."
D. "Checking it often will help you lose weight."
,Correct Answer: B
Rationale: This response provides the client with a clear, therapeutic
explanation of the purpose of blood glucose monitoring. It empowers the
client to understand the rationale behind the treatment plan and promotes
adherence. The other options are either dismissive, incorrect, or
nontherapeutic.
4. A nurse is preparing to insert an indwelling urinary catheter for a female
client. Which of the following actions should the nurse take?
A. Use sterile gloves and sterile supplies throughout the procedure
B. Clean the meatus from the rectum toward the urethra
C. Insert the catheter until urine flows, then advance 1 to 2 inches further
D. Inflate the balloon with sterile water before checking for urine return
Correct Answer: A
Rationale: Indwelling catheter insertion requires sterile technique to prevent
infection. The nurse should use sterile gloves and sterile supplies. The
perineum should be cleaned from the urethra toward the rectum (not the
reverse) to avoid introducing bacteria. The catheter should be inserted until
urine flows, then advanced an additional 1 to 2 inches to ensure the balloon is
in the bladder before inflation.
, 5. A nurse is providing discharge teaching to a client who is postoperative
following a hip arthroplasty. Which of the following statements by the client
indicates a need for further teaching?
A. "I should avoid crossing my legs."
B. "I can bend forward to pick up items from the floor."
C. "I need to use a raised toilet seat."
D. "I should not sleep on my operative side."
Correct Answer: B
Rationale: After hip arthroplasty, clients should avoid bending forward at the
waist (flexion greater than 90 degrees) to prevent dislocation of the hip
prosthesis. The other statements are correct: avoiding crossing legs, using a
raised toilet seat, and not sleeping on the operative side are all appropriate
postoperative precautions.
6. A nurse is assessing a client who has a pressure injury on the sacrum. The
wound bed is moist with granulation tissue, and there is no slough or eschar.
Which of the following wound dressings should the nurse expect to use?
A. Dry gauze dressing
B. Hydrocolloid dressing
C. Alginate dressing
D. Transparent film dressing
Correct Answer: C
