ATI RN
ATI Pediatric Nursing n100 Exam Questions
Extract:
A client whose cancer is very advanced.
Question 1 of 5
A client, whose cancer is very advanced, has decided not to have surgery or chemotherapy. The nurse believes that, as a rule, everything possible should be done to preserve life. However, once the client has decided, the nurse supports the decision. Which ethical principle provides the best basis for the nurse's actions?
Correct Answer: D
Rationale: Respect for autonomy prioritizes the client's right to make their own healthcare decisions, even if they conflict with the nurse's beliefs.
Extract:
A client receiving pain reassessment after repositioning and analgesic administration.
Question 2 of 5
A nurse verbally contracts with a client to reassess their pain level after repositioning and an analgesic is given. The nurse returns within 60 minutes to evaluate effectiveness of the interventions. What ethical principle does this represent?
Correct Answer: D
Rationale: Fidelity involves keeping promises, as the nurse honors the commitment to reassess pain within the agreed time frame.
Extract:
A client who is one day post op after having abdominal surgery.
Question 3 of 5
The nurse is caring for a client who is one day post op after having abdominal surgery. While auscultating bowel sounds for a full one minute, the nurse hears 3 bowel sounds. The nurse would chart this as bowel sounds.
Correct Answer: C
Rationale: Hypoactive bowel sounds, less than 5 per minute, are common post-surgery due to anesthesia and opioid effects.
Extract:
A client experiencing a sudden need to urinate.
Question 4 of 5
The client tells the nurse. 'The need to urinate comes on me all of a sudden, and it feels as though I have to go immediately-that I can't wait.' The nurse charts that the client is experiencing:
Correct Answer: C
Rationale: Urinary urgency is a sudden, compelling need to urinate that cannot be delayed, matching the client's description.
Extract:
An adult patient with constipation.
Question 5 of 5
The nurse must administer an enema to an adult patient with constipation. Which is a safe and effective distance for the nurse to insert the tubing into the patient's rectum? (SELECT ALL THAT APPLY)
Correct Answer: A,E
Rationale: Inserting the tubing 3-4 inches allows effective delivery of the enema solution to the sigmoid colon without risking injury.