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ATI RN Fundamentals 2023 Exam 3 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has an extracellular fluid volume deficit. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Postural hypotension (
B) reflects low blood volume in fluid deficit. Distended veins (
A) and edema (
C) suggest fluid excess, and tachycardia (not bradycardia,
D) compensates.

Question 2 of 5

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Encouraging fluids (
C) promotes urine output, addressing retention non-invasively first. Running water (
A) helps some, supine (
B) hinders voiding, and catheterization (
D) is a last resort.

Question 3 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

Question 4 of 5

A nurse is assessing a client who received morphine for severe pain 30 min ago. Which of the following findings is the nurse's priority?

Correct Answer: A

Rationale: Respiratory rate 7/min (
A) indicates opioid-induced respiratory depression, a life-threatening priority per ABCs. Bladder (
B), constipation (
C), and pain (
D) are less urgent.

Question 5 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

Similar Questions

The nurse is preparing the client for surgery. Select the 3 findings that require follow-up prior to surgery.
A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)
A home health nurse is performing a fall risk assessment for an older adult client. Which of the following findings should the nurse identify as a potential fall risk in the home?
A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)
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