ATI RN
ATI Fundamentals Exam East Wick College Questions
Extract:
Question 1 of 5
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: D
Rationale: Lowering the solution container reduces flow rate, alleviating cramping.
Question 2 of 5
A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances?
Correct Answer: B
Rationale: Large-volume NG drainage causes significant potassium loss, leading to hypokalemia.
Question 3 of 5
A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Hypernatremia causes decreased level of consciousness due to cellular dehydration, especially in the brain.
Question 4 of 5
A nurse is collecting data from a client who has a sodium level of 128 mEq/L. Which of the following manifestations should the nurse expect?
Correct Answer: D
Rationale: Hyponatremia causes headaches due to cellular swelling and increased intracranial pressure.
Question 5 of 5
A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?
Correct Answer: C
Rationale: A 90° angle ensures intramuscular delivery into the ventrogluteal muscle.