ATI RN
ATI Capstone Week 9 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
Correct Answer: C
Rationale: The correct action for the nurse to take first is to perform a bladder scan (
Choice
C). This is the most appropriate initial step to assess the client's bladder volume without being invasive. It allows the nurse to determine if the client is retaining urine, which could be causing the inability to void. If the bladder scan shows a large volume of urine, then the nurse can proceed with appropriate interventions such as catheterization. Providing assistance to the bathroom (
Choice
A) may not be effective if there is significant urinary retention. Increasing fluids (
Choice
B) may worsen the situation by further distending the bladder. Inserting a straight catheter (
Choice
D) without assessing the bladder volume can be harmful and should only be done after determining the need through a bladder scan.
Question 2 of 5
Correct Answer:
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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