ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A charge nurse is teaching a group of nurses about decreasing the risk for catheter-associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

A. Disconnect the drainage tube if the catheter requires irrigation.'B. Keep the collection bag below bladder level.'C. Use a size 20 French catheter for catheterization.'D. Allow the drainage bag to fill completely before emptying'

Correct Answer: B

Rationale: Keeping the collection bag below bladder level (
B) prevents urine backflow, reducing infection risk. Disconnecting (
A) introduces bacteria, catheter size (
C) varies by need, and overfilling (
D) risks backflow.

Question 2 of 5

A nurse is administering an intramuscular injection to a client using the Z-track method. Which of the following actions should the nurse take?

A. Release the skin before withdrawing the needle.B. Insert at a 45° angle.C. Withdraw the needle quickly.D. Pull the skin laterally.

Correct Answer: D

Rationale: Pulling skin laterally (
D) in Z-track seals medication in muscle, preventing leakage. Releasing early (
A) negates this, 45° (
B) is too shallow (90° typical), and quick withdrawal (
C) risks leakage.

Question 3 of 5

A nurse is assessing a client who recently started taking an antibiotic. The nurse should identify that which of the following findings is an indication of a mild allergic reaction?

A. Sore throatB. Urinary frequencyC. TinnitusD. Urticaria

Correct Answer: D

Rationale: Urticaria (D, hives) is a common mild allergic reaction to antibiotics. Sore throat (
A), urinary frequency (
B), and tinnitus (
C) aren’t typical allergy signs.

Question 4 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 5 of 5

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

A. The client drinks their thickened juice with a straw.B. The client takes frequent breaks while eating.C. The client adjusts the head of their bed to 90 degrees.D. The client tucks their chin when they swallow.

Correct Answer: A

Rationale: Drinking thickened juice with a straw (
A) increases aspiration risk in dysphagia; a cup is safer. Breaks (
B), upright position (
C), and chin tuck (
D) reduce aspiration risk.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN

ATI RN