ATI RN
ATI RN Custom Nursing 221 Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?
Correct Answer: A
Rationale: Checking the catheter tubing for kinks or twisting prevents urinary stasis, reducing infection risk.
Question 2 of 5
A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels?
Correct Answer: B
Rationale: An HbA1c value of 6.3% indicates good glucose control.
Question 3 of 5
A nurse is assessing a client who reports numbness and pain in his right palm, index finger, and middle finger. The client reports working with a keyboard most of the time while at work. The nurse suspects carpal tunnel syndrome. Which of the following tests should the nurse request that the client perform?
Correct Answer: C
Rationale: Holding the wrist at a 90-degree flexion (Phalen's test) is a diagnostic test for carpal tunnel syndrome.
Question 4 of 5
A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
Correct Answer: D
Rationale: A CD4-T-cell count of 180 cells/mm³ indicates severe immune system damage, making it the priority.
Question 5 of 5
A nurse is teaching a client who has acute kidney disease about fluid restrictions. Which of the following statements by the client should the nurse identify as understanding of the teaching?
Correct Answer: C
Rationale: Making a list of favorite beverages shows the client understands the need to prioritize fluid intake within restrictions.