Extract:

Question 1 of 5

A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

A. Hold the dropper 3 cm (1.2 in) away from the client's eye.B. Massage the client's eyelids for 20 seconds after instillation.C. Wait 5 min between the administration of each medication.D. Ask the client to close their eyes tightly after instilling each medication.

Correct Answer: C

Rationale: Waiting 5 minutes (
C) between drops prevents interactions and ensures absorption. 3 cm (
A) is too far (1 cm is ideal), massaging (
B) risks injury, and tight closure (
D) expels medication.

Question 2 of 5

A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

A. A family whose head of household lost their job.B. A family whose house was destroyed in a fire.C. A family whose only child recently died due to cancer.D. A family whose oldest child is moving away for college.

Correct Answer: D

Rationale: Maturational loss (
D) is a normal life transition, like a child leaving for college. Job loss (
A), fire (
B), and death (
C) are situational losses.

Question 3 of 5

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

A. The client is incapable of providing self-care.B. The client is unable to express their wishes.C. The client is terminally ill.D. The client has refused treatment

Correct Answer: B

Rationale: Durable power of attorney (
B) activates when the client can’t communicate healthcare decisions, not just self-care (
A), terminal illness (
C), or refusal (
D).

Question 4 of 5

A nurse is assessing a client's abdomen. In what order should the nurse complete the steps of the assessment? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Press deeply into the client's upper abdomen left of midline to detect aortic pulsation.B. Use fingertips to lightly depress the right lower quadrant of the client's abdomen.C. Systematically percuss the client's abdomen.D. Observe the contours of the client's abdomen using a penlightE. Determine the presence of bowel sounds by using the diaphragm of the stethoscope.

Correct Answer: D,E,C,B,A

Rationale: Abdominal assessment follows: inspection (
D) first to observe contours, auscultation (E) second for bowel sounds before palpation affects them, percussion (
C) third to assess sound quality, light palpation (
B) fourth for tenderness, and deep palpation (
A) last to avoid discomfort interference.

Question 5 of 5

A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

A. Refrigerates the solution before irrigationB. Uses a syringe with a catheter for wound irrigationC. Uses one pair of gloves for dressing removal and irrigationD. Administers an analgesic medication 5 min before starting irrigation

Correct Answer: B

Rationale: A syringe with a catheter (
B) ensures controlled irrigation, removing debris safely. Cold solution (
A) causes discomfort, one glove pair (
C) risks contamination, and 5-minute analgesia (
D) is too late for effect.

Nurselytic

ATI RN

ATI RN

ATI RN Fundamentals 2023 Exam 3 Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Similar Questions

Access More Questions!

ATI RN Basic

ATI RN Premium