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's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?

Correct Answer: B

Rationale: Auscultating before percussion or palpation ensures accurate bowel sound assessment without interference. Other choices disrupt natural sounds.

Question 2 of 5

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Locking the wheels of both the bed and wheelchair ensures stability during the transfer preventing movement that could lead to falls or injuries.
Choice A prioritizes nurse comfort over client safety which is inappropriate.
Choice B may be excessive unless the client’s condition requires it.
Choice C is incorrect as a 90° angle complicates pivoting and increases fall risk.

Question 3 of 5

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min,respiratory rate 24/min BP 132/76 mm Hg and temperature 36.8°C (98.2°F). Which of the following actions should the nurse perform?

Correct Answer: C

Rationale: A neurological check (
C) is priority to assess sudden confusion and drowsiness indicating a potential neurological issue. Other choices are not immediately relevant.

Question 4 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 5 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,which of the following interventions should the nurse initiate?

Correct Answer: B

Rationale: Scheduled toileting (
B) is effective for managing incontinence in dementia. Other choices are less appropriate or risk complications.

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