ATI RN
ATI RN Fundamentals 2023 Exam 3 Questions
Extract:
Question 1 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.)
Correct Answer: D,E,C,B,A
Rationale:
To assess a client's abdomen correctly, the nurse should first observe the contours of the abdomen using a penlight (
D). This step helps to visually identify any abnormalities or distention. Next, the nurse should determine the presence of bowel sounds using the diaphragm of the stethoscope (E), as this provides information about gastrointestinal motility. Systematic percussion of the abdomen (
C) should follow, as it helps to assess for organ size and presence of fluid or air.
Then, the nurse should lightly depress the right lower quadrant of the abdomen using fingertips (
B) to check for tenderness or masses. Finally, the nurse should press deeply into the upper abdomen left of midline (
A) to detect aortic pulsations. This order ensures a thorough and systematic assessment of the abdomen. Other choices are incorrect as they do not follow a logical sequence for abdominal assessment.
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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