ATI RN
Introduction to Professional Nursing Questions
Question 1 of 5
What procedure requires logrolling a client after surgery?
Correct Answer: A
Rationale: The correct answer is A: Laminectomy. After a laminectomy, the client may experience back pain and limited mobility, requiring them to be logrolled to prevent injury to the surgical site. Logrolling involves moving the client as a single unit to maintain proper alignment and minimize stress on the spine. B: Thoracotomy is incorrect because logrolling is not typically required after this procedure, which involves accessing the chest cavity. C: Hemorrhoidectomy is incorrect because logrolling is not necessary after surgery on the anal area. D: Cystectomy is incorrect because logrolling is not typically performed after this procedure, which involves removing the bladder.
Question 2 of 5
What assessment finding would concern the nurse most in a client with crepitus and decreased breath sounds after a motor vehicle accident?
Correct Answer: C
Rationale: The correct answer is C: Trachea deviating to the right. This finding indicates a tension pneumothorax, a life-threatening condition that requires immediate intervention. Crepitus and decreased breath sounds suggest air in the pleural space, causing the lung to collapse. Tracheal deviation to the unaffected side is a critical sign of tension pneumothorax, indicating a shift of mediastinal structures. Choices A, B, and D do not address the immediate concern of tracheal deviation and the potential for a tension pneumothorax in this scenario.
Question 3 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 4 of 5
Where should the aortic valve be assessed?
Correct Answer: B
Rationale: The correct answer is B: 2nd ICS to the right. The aortic valve is best assessed at the 2nd intercostal space (ICS) to the right of the sternum. This is where the aortic valve can be auscultated most accurately due to its anatomical positioning. Assessing at the 3rd ICS to the left (choice A) would be incorrect as it is more indicative of the pulmonic valve. Choices C and D are also incorrect as they do not align with the accurate anatomical location of the aortic valve.
Question 5 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.