ATI RN Custom Exams Set 1

Question 1 of 5

The nurse is caring for the client recovering from a percutaneous renal biopsy. Which data indicate that the client is complying with client teaching?

A. The client lies flat in the supine position for 12 hours B. The client continues oral fluids restriction while on bed rest C. The client's family changed the dressing on return to the room D. The family activates the patient-controlled analgesia pump

Correct Answer: A

Rationale: The correct answer is A. Lying flat in the supine position for 12 hours after a renal biopsy is essential to prevent bleeding and promote recovery. This position helps apply pressure to the biopsy site, reducing the risk of bleeding.

Choices B, C, and D are incorrect because continuing oral fluids restriction, changing the dressing, and activating the patient-controlled analgesia pump do not directly indicate compliance with the crucial post-biopsy teaching of maintaining the supine position.

Question 2 of 5

Clinitest is used in testing the urine of a client for glucose. Which of the following, if committed by a nurse, indicates an error?

A. Specimen is collected after meals B. The nurse puts the clingiest tablet into a test tube C. She added 5 drops of urine and 10 drops of water D. If the color becomes orange or red, It is considered

Correct Answer: C

Rationale: When conducting a Clinitest for testing urinary glucose levels, it is essential to add the correct amounts of urine and Clinitest reagent as instructed. Adding more water than urine could dilute the sample, leading to inaccurate test results. It's important to follow the correct ratio of drops specified in the instructions for an accurate reading.

Question 3 of 5

A patient is prescribed an oral anticoagulant. What should the nurse monitor for?

A. Elevated blood glucose B. Decreased blood pressure C. Signs of bleeding D. Increased appetite

Correct Answer: C

Rationale: Correct! When a patient is prescribed an oral anticoagulant, the nurse should monitor for signs of bleeding. Oral anticoagulants are medications that prevent blood clot formation but can increase the risk of bleeding. Monitoring for signs such as easy bruising, blood in urine or stool, and prolonged bleeding from minor cuts is essential.

Choices A, B, and D are incorrect because oral anticoagulants do not typically affect blood glucose levels, blood pressure, or appetite.

Question 4 of 5

The nurse had developed a close relationship with the family of a client who is dying. Which nursing intervention(s) are most appropriate in dealing with the family?

A. Encouraging family discussion of feelings B. Accepting the family's experience of anger C. Facilitating the use of spiritual practices identified by the family D. All of the above

Correct Answer: D

Rationale: When a nurse has established a close relationship with a dying client's family, it is important to offer holistic support. Encouraging family discussion of feelings allows them to express and process their emotions, accepting the family's experience of anger validates their feelings, and facilitating the use of spiritual practices identified by the family can provide comfort and solace.
Therefore, all of the above interventions are crucial in dealing with the family during such a challenging time.

Choices A, B, and C work together to provide comprehensive emotional and spiritual support, making option D the correct answer.

Question 5 of 5

Six hours after major abdominal surgery, a male client complains of severe abdominal pain; is pale and perspiring; has a thready, rapid pulse; and states he feels faint. The nurse checks the client's medication administration record and determines that the client receives another injection of pain medication in an hour. What is the appropriate action by the nurse?

A. Explain to the client that it is too early to have an injection for pain B. Call the practitioner, report the client's symptoms, and obtain further orders C. Reposition the client for greater comfort and turn on the television as a distraction D. Prepare the injection and administer it to the client early because of the severe pain

Correct Answer: B

Rationale: The correct action for the nurse to take in this situation is option B: Call the practitioner, report the client's symptoms, and obtain further orders. The client is displaying symptoms that indicate potential complications, such as internal bleeding, which require immediate medical evaluation. Option A is incorrect because the client's condition suggests a more urgent need for assessment. Option C is inappropriate as it does not address the seriousness of the client's symptoms. Option D is dangerous and could exacerbate any underlying issue the client may be experiencing.

Nurselytic

ATI RN

ATI RN