ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Auscultate bowel sounds. This is the first action the nurse should take to assess for signs of bowel obstruction, a potential emergency with the client's symptoms. Absence of bowel sounds may indicate a blockage and prompt further intervention. Offering pain medication (
A) without assessing the underlying cause could mask symptoms. Palpating the abdomen (
B) could potentially worsen a blockage if present. Administering an antiemetic (
C) may help with nausea but does not address the root cause.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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