A nurse is preparing to perform a routine abdominal assessment for a client. Which action should the nurse take?- Nurselytic

Question 1 of 5

A nurse is preparing to perform a routine abdominal assessment for a client. Which action should the nurse take?

A. Perform palpation before auscultation B. Perform percussion before auscultation C. Perform palpation after auscultation D. Perform inspection after auscultation

Correct Answer: C

Rationale: The correct order for an abdominal assessment is inspection, auscultation, percussion, and then palpation.

Question 2 of 5

A nurse is caring for a client who has a prescription for a narcotic medication. After administration, the nurse is left with an unused portion. What should the nurse do?

A. Discard the medication in the trash B. Return the medication to the pharmacy C. Discard the medication with another nurse as a witness D. Store the medication for future use

Correct Answer: C

Rationale: Controlled substances should be discarded in the presence of another nurse to ensure accountability.

Question 3 of 5

A nurse is in the emergency department monitoring the hydration status of a client receiving oral rehydration. What should the nurse intervene for?

A. Heart rate 120/min B. Urine output 30 mL/hour C. Blood pressure 110/70 mmHg D. Skin turgor is normal

Correct Answer: A

Rationale: A heart rate of 120/min may indicate dehydration or inadequate hydration, prompting the need for IV fluid replacement.

Question 4 of 5

A nurse in a provider's office is assessing a client who reports a decrease in the effectiveness of their arthritis medication. Which of the following client information should the nurse identify as a contributing factor?

A. The client has a history of recurring bowel inflammation B. The client has recently increased their exercise regimen C. The client is taking herbal supplements D. The client is experiencing increased stress

Correct Answer: A

Rationale: Recurring bowel inflammation can decrease gastrointestinal motility, affecting the absorption of oral medications.

Question 5 of 5

A nurse is caring for a patient who is scheduled for cataract surgery. The client states, "I see just fine and have decided to cancel my surgery." Which of the following responses should the nurse make?

A. That's not a good idea; the surgery is necessary B. Share with me more about the thoughts that are concerning you C. You should trust your doctor's advice D. You can always reschedule the surgery later

Correct Answer: B

Rationale: Encouraging the client to share their thoughts helps the nurse understand the client's concerns and facilitates a supportive discussion.

Nurselytic

ATI LPN

ATI LPN

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