ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence
Correct Answer: B
Rationale: Scheduled toileting every 2 hours is an effective non-invasive intervention for managing incontinence in clients with dementia promoting regular voiding and reducing accidents.
Choice A increases infection risk and is a last resort.
Choice C is unreliable due to cognitive impairment in dementia.
Choices D and E (identical) do not address the underlying issue and may compromise dignity.
Question 2 of 5
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?
Correct Answer: D
Rationale: Temporary urinary retention is common post-catheter removal in older adults due to bladder readjustment.
Choice A is not expected
Choice B requires reporting and
Choice C suggests dehydration not a direct outcome.
Question 3 of 5
A nurse is caring for a client who requires cold applications with an ice bag to reduce the swelling and pain of an ankle injury. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying the ice bag for 30 minutes (
A) is appropriate to prevent tissue damage. Other choices risk injury or reduce effectiveness.
Question 4 of 5
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Holding the container 30 cm (12 in) above the anus allows for adequate gravitational flow to administer the enema effectively without causing discomfort or injury. This height ensures the solution flows gently into the rectum promoting bowel evacuation.
Choice B involves unnecessary movement and insufficient height for effective flow.
Choice C does not provide the necessary gravitational force and
Choice D lacks specific guidance on height which is critical for the procedure.
Question 5 of 5
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence,which of the following interventions should the nurse initiate?
Correct Answer: B
Rationale: Scheduled toileting (
B) is effective for managing incontinence in dementia. Other choices are less appropriate or risk complications.