Questions 67

ATI RN

ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Correct Answer: D

Rationale: TPN stoppage can cause hypoglycemia leading to shakiness and diaphoresis (
D). Other choices are unrelated to TPN interruption.

Question 2 of 5

The family of an older adult client brings him to the emergency department after finding him wandering outside. During the initial assessment.the nurse notes that the client flinches when she palpates his abdomen yet responds to questions only by nodding and smiling. Which of the following factors should the nurse identify as a likely explanation for the client's behavior?

Correct Answer: B

Rationale: Confusion (
B) explains wandering limited verbal response and flinching common in delirium or dementia.

Choices A,C,D and E/F do not fully account for all behaviors.

Question 3 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 4 of 5

A nurse is preparing a client for outpatient surgery. After the nurse inserts the IV catheter,the client reports pain in the insertion area. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Removing the catheter and inserting it at a new site addresses pain likely caused by improper placement.

Choices A B and C are less appropriate initial actions.

Question 5 of 5

When reviewing the admitting prescriptions for a client,the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Contacting the provider (
D) ensures safety by clarifying an unusually high dose. Other choices risk administering an unsafe dose.

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