ATI RN
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ATI RN Fundamentals Exam 6 Questions
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Question
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1 of 5
A nurse is caring for a client who has diabetes mellitus. Which of the following statements by the client indicates a need for further teaching about diabetic foot care?
Correct Answer: B
Rationale: Wearing cotton socks is appropriate as they allow for better air circulation. Cutting nails rounded at the corners can lead to ingrown toenails which is not recommended for individuals with diabetes. Using a mirror for daily foot inspection is a good practice to identify any issues early. Buying shoes late in the afternoon accounts for any swelling that may occur during the day which is a suitable practice for individuals with diabetes.
Question 2 of 5
A nurse is calculating the 8-hr fluid intake for a client who is receiving IV fluids and a clear liquid diet. The client had 880 mL of dextrose 5% in water IV bolus a 6 oz cup of tea 4 oz of apple juice 8 oz of water 3 oz of flavored gelatin and 6 oz of broth. What should the nurse document as the client's 8-hr fluid intake? (Round the answer to the nearest whole number. Use a leading zero if applicable. Do not use a trailing zero.)
Correct Answer: 1690
Rationale:
To calculate the 8-hr fluid intake convert all measurements to milliliters (mL). 1 oz = 30 mL so 6 oz of tea = 180 mL 4 oz of apple juice = 120 mL 8 oz of water = 240 mL 3 oz of flavored gelatin = 90 mL and 6 oz of broth = 180 mL. Add up all the fluid intake from IV fluids and clear liquids: 880 + 180 + 120 + 240 + 90 + 180 = 1690 mL. Round the answer to the nearest whole number: 1690 mL. The nurse should document 1690 mL as the client's 8-hr fluid intake.
Question 3 of 5
A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?
Correct Answer: A
Rationale: Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease.
Therefore informing the client that they will be more comfortable after surgery is an appropriate instruction. Palliative surgery may not necessarily provide more information about the disease. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
Question 4 of 5
A provider prescribes cold application for a client who reports ankle joint stiffness. Which of the following assessment findings should the nurse identify as a contraindication to the application of cold?
Correct Answer: C
Rationale: 2+ pitting edema is not a contraindication to cold application; in fact cold application can help reduce edema. A 7.5 cm (3 in) diameter bruise on the ankle is not a contraindication to cold application; cold can help reduce swelling and alleviate pain. Capillary refill of 4 seconds suggests compromised blood flow and cold application may further impair circulation. It is a contraindication. Warts on the affected ankle are not a contraindication to cold application.
Question 5 of 5
A nurse is preparing to insert an indwelling urinary catheter. Which of the following instructions should the nurse give the client to help ease the passage of the catheter through the urinary meatus?
Correct Answer: B
Rationale: Raising the head off the pillow is not relevant to easing the passage of the catheter through the urinary meatus. Bearing down can help relax the pelvic floor muscles making it easier to insert the catheter through the urinary meatus. Holding the breath is not typically instructed during catheter insertion and may not aid in the ease of the procedure. Performing Kegel exercises involves contracting pelvic floor muscles which is not the desired action when inserting a urinary catheter.