ATI NSG 1530 Exam 2

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Sample questions from ATI NSG 1530 Exam 2

This material has 75 questions with answers and rationales. Here are the first 5.

1. 1.On a surgical unit, a 68-year-old client is 2 days post-op after a hip replacement, is alert, has stable vital signs, and needs routine morning care. Which task should the RN delegate to the assistive personnel?

   • A.Assess the client's pain before administering the prescribed analgesic
   • B.Teach the client how to prevent hip dislocation at home
   • C.Evaluate the client's ability to use a walker safely
   • D.Assist the client with bathing and report any new skin redness

   Rationale: Assisting with bathing is a routine task for a stable client, and the assistive personnel can report observed skin changes to the RN. Pain assessment, mobility evaluation, and discharge teaching require nursing judgment or teaching expertise. The RN remains responsible for interpreting reported findings and following up.

2. 2.In a pediatric clinic, a 7-year-old client with asthma has an oxygen saturation of 95% on room air and is speaking in full sentences. The provider prescribes a medication dose that exceeds the maximum listed in the pediatric reference. What should the nurse do first?

   • A.Ask another nurse to verify the dose and then administer it
   • B.Hold the medication and clarify the dose with the provider
   • C.Administer the prescribed dose because the provider entered the order
   • D.Give half the prescribed dose and document the adjustment

   Rationale: The nurse should hold a potentially unsafe dose and clarify it with the prescriber before administration. A second nurse's check does not make an excessive dose safe, and the nurse must not independently alter the prescription. Administering without clarification could cause preventable harm.

3. 3.Refer to the client's chart. The 29-year-old client is being treated for postpartum hemorrhage. Which actions should the nurse take now? Select all that apply.

   • A.Notify the blood bank and prepare for possible transfusion as prescribed
   • B.Delegate ongoing assessment of uterine tone to assistive personnel
   • C.Wait for the next scheduled vital-sign assessment before escalating care
   • D.Activate the facility's obstetric hemorrhage response
   • E.Maintain large-bore intravenous access and prepare prescribed fluids

   Rationale: The increasing blood loss, boggy uterus, tachycardia, and falling blood pressure require immediate escalation through the hemorrhage response. The RN should maintain IV access and prepare prescribed fluids, and notify the blood bank as transfusion may be needed. Uterine tone and ongoing deterioration require RN assessment, so they should not be delegated; waiting for routine vital signs delays lifesaving care.

4. 4.At change of shift in a neonatal unit, the nurse receives report on four clients. Which client should the nurse assess first?

   • A.A 3-day-old newborn with mild jaundice and a bilirubin level scheduled for recheck
   • B.A 2-day-old newborn with a respiratory rate of 42/min who is sleeping after a feeding
   • C.A 5-day-old newborn with a temperature of 36.2 C, poor feeding, and lethargy
   • D.A 1-day-old newborn whose parent requests help with positioning for breastfeeding

   Answer and rationale are in the full material.

5. 5.In a community hospital, an 18-year-old client scheduled for appendectomy says, "I signed the form, but I do not understand what the surgeon plans to do." What is the nurse's best action?

   • A.Notify the surgeon that the client needs further explanation before consent
   • B.Proceed because the signed consent form is already in the chart
   • C.Explain the surgical risks and obtain the client's signature again
   • D.Ask the client's parent to explain the procedure

   Answer and rationale are in the full material.