Questions 40

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ATI RN Test Bank

ATI Nursing 135 Exam Spring 2023 Questions

Extract:


Question 1 of 5

A nurse is caring for a client diagnosed with diabetic ketoacidosis. Which of the following manifestations should the nurse expect?

Correct Answer: B

Rationale: Acetone odor on the breath is a classic sign of diabetic ketoacidosis due to the breakdown of fats into ketones.

Question 2 of 5

A nurse is caring for a client following an esophagogastroduodenoscopy (EGD) procedure. Which of the following assessments should be the nurse's priority assessment?

Correct Answer: B

Rationale: Assessing the gag reflex is the priority post-EGD to ensure safe swallowing and prevent aspiration.

Question 3 of 5

A nurse is ready to insert an indwelling urinary catheter for a female client. Which of the following instructions should the nurse provide to the client as the catheter is inserted?

Correct Answer: A

Rationale: Bearing down relaxes the urethral sphincter, facilitating catheter insertion.

Question 4 of 5

A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Reviewing electrolyte values first addresses potential imbalances (e.g., potassium loss) critical in acute ulcerative colitis.

Question 5 of 5

A nurse is teaching students about the use of isotonic solutions. The nurse recognizes which statements made by a student about isotonic solutions are correct. (SELECT ALL THAT APPLY)

Correct Answer: A,B,D,E

Rationale: Isotonic solutions replace fluid loss, don't typically provide calories, don't supply free water, and match body fluid osmolality, making A, B, D, and E correct.

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