ATI RN All Subjects Study Guide

Leadership:

1. A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP?

• A. Check a client's pain level 30 min after receiving acetaminophen.
• B. Administer the initial bolus feeding to a client who has an NG tube.
• C. Collect a urine specimen from a newly admitted client.
• D. Instruct a client to splint an abdominal incision.

Answer: C. Delegation should match the worker's scope and the client's stability. Routine, predictable, non-assessment tasks can be delegated to assistive personnel, while assessment, clinical judgment, and initial teaching remain with the RN.

Pharmacology:

2. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should monitor for which of the following adverse effects?

• A. Fluid retention
• B. Hypertension
• C. Weight loss
• D. Hyperthermia

Answer: A. Pioglitazone and other thiazolidinediones can cause fluid retention, which may worsen or precipitate heart failure — a key monitoring point for clients on this medication.

Maternal/Newborn:

3. A nurse is caring for a newborn who is 5 days old and is exhibiting signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? (Select all that apply.)

• A. Swaddle the newborn with extremities flexed
• B. Weigh the newborn daily
• C. Maintain a low-stimulation environment
• D. Wake the newborn every 2 hours for feeding on a strict schedule

Answer: A, B, C. Swaddling with flexed extremities, daily weights, and a low-stimulation environment all help manage NAS symptoms; feeding should follow the newborn's cues rather than a rigid forced schedule.

Community Health:

4. A nurse is caring for a patient with Vancomycin-Resistant Enterococcus (VRE). What PPE is essential?

• A. N95 Respirator
• B. Goggles
• C. Gown and Gloves
• D. Surgical Mask

Answer: C. VRE requires contact precautions to prevent the spread of the resistant bacteria through direct or indirect contact with the patient or environment.