Questions 55

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ATI RN Fundamentals 2019 II Questions

Extract:


Question 1 of 5

A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Contracting pelvic muscles strengthens the pelvic floor improving bladder control. Holding breath (
A) worsens incontinence 2 weeks (
C) is unrealistic and tightening buttocks (
D) interferes with pelvic isolation.

Question 2 of 5

A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: A sponge bath with alcohol-water solution promotes heat loss via evaporation. Blankets reduce cooling blanket efficacy (
A) heavy blankets trap heat (
B) and ice packs (
D) cause vasoconstriction hindering cooling.

Question 3 of 5

A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Placing the extremity in a dependent position increases venous pressure for visibility.
Tourniquets go above the site (
A) warm compresses aid vasodilation (
B) and distal sites are preferred (
D).

Question 4 of 5

A nurse is caring for an infant who is to undergo surgery. The nurse should identify that which of the following individuals should sign the consent form?

Correct Answer: C

Rationale: The 17-year-old mother can consent if emancipated (e.g. as a parent) or a mature minor. Providers (
A) grandparents (
B) and siblings (
D) lack legal authority unless they have custody or guardianship.

Question 5 of 5

A nurse is preparing to administer a controlled substance to a client for pain management. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Reporting discrepancies ensures accurate inventory and prevents diversion. The nurse records waste (
A) sharps containers are for needles (
C) and counts are verified before removal (
D).

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A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first?
A nurse is reviewing a client's intake and output and notes the following: 0.9% sodium chloride 600 mL IV infusion cefazolin 250 mg in dextrose 5% in water 100 mL intermittent IV bolus 200 mL emesis 40 mL voided urine and 20 mL urine from straight catheterization. The nurse should record the client's net fluid intake as how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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