ATI RN
Introduction to Professional Nursing Questions
Question 1 of 5
What is not done to assess the scrotum?
Correct Answer: B
Rationale: The correct answer is B: Auscultation. Auscultation is not typically done to assess the scrotum as it involves listening for sounds within the body using a stethoscope, which is not relevant for evaluating the scrotum. Palpation is the primary method used to feel for abnormalities in the scrotum. Inspection involves visually examining the scrotum for any visible signs of issues. Percussion is a technique where the area is tapped to assess the density of underlying structures, but it is not commonly used for scrotum assessment. Therefore, auscultation is the odd one out in this context.
Question 2 of 5
What should the nurse do if a client with urinary incontinence has a urine output of 60ml over 3 hours?
Correct Answer: D
Rationale: The correct answer is D because palpating the patient's hypogastrium can help assess for bladder distension, which could be causing the urinary incontinence. By palpating the hypogastrium, the nurse can determine if the bladder is full and if the patient needs to void. This action is more appropriate than the other choices because stimulating the patient to urinate (choice A) may not address the underlying cause, informing the head nurse (choice B) is not an immediate action for this situation, and positioning the patient on his left side (choice C) is not directly related to assessing bladder distention.
Question 3 of 5
You are currently inserting an IV line into a client. While you were inserting it, which of the following signs should you stop advancing the catheter?
Correct Answer: D
Rationale: Correct answer: D. The blood return shows in the backflash chamber of the catheter. Rationale: When inserting an IV line, the appearance of blood return in the backflash chamber indicates proper placement within the vein. This signifies that the catheter tip is in the vein, and further advancement should be stopped to prevent complications like infiltration. Options A, B, and C do not provide direct indications of proper catheter placement and do not offer concrete guidance on when to stop advancing the catheter.
Question 4 of 5
When assessing Frank for chest percussion or chest vibration and postural drainage, Mario would focus on the following, EXCEPT:
Correct Answer: C
Rationale: The correct answer is C because when assessing for chest percussion or chest vibration and postural drainage, Mario should focus on the client's respiratory status, not breath sounds and location of congestion. Breath sounds and congestion assessment are important for lung auscultation, not for the actual treatment techniques. A: Monitoring food and fluid intake is important to prevent aspiration during treatment. B: Respiratory rate indicates the client's respiratory effort and response to treatment. D: Teaching relatives to perform the procedure ensures continuity of care and client support. Therefore, C is the correct answer as it is not directly related to the assessment for these specific treatments.
Question 5 of 5
A nurse is caring for a client with a chest tube attached to a Pleurevac drainage system. Which of the following actions should the nurse avoid to prevent a tension pneumothorax?
Correct Answer: A
Rationale: Correct Answer: A: Clamping the chest tube Rationale: Clamping the chest tube can lead to a tension pneumothorax by preventing air from escaping the pleural space. This can cause a buildup of pressure, leading to lung collapse and potential life-threatening complications. Summary of other choices: B: Taping the connection can prevent air leaks and maintain the system's integrity. C: Adding water to the suction chamber is necessary to maintain suction and prevent air leaks. D: Maintaining the collection chamber below the client's waist helps with proper drainage and prevents backflow of fluid.