ATI RN
ATI Med Surg Pharm Comprehensive Exam 1 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: Performing a bladder scan is the first action to assess if the client has urine in the bladder and needs further intervention.
Extract:
Nurses' Notes
0800: Client reports abdominal pain that began the previous evening. Client is two weeks postoperative from a right knee replacement. Reports taking 3 to 4 hydrocodone tablets daily for postoperative pain. Has not had bowel movement in 4 days. Reports not drinking many fluids to avoid having "to get up and go to the bathroom so often because it hurts to walk."
0830: Client taken for abdominal x-ray. Partner reports that client has not been following physical therapist's exercise regimen of walking several times daily.
0915: Fecal mass of hard, dry stool removed digitally from client per provider's order.
1015: Provided teaching to client and partner about constipation and methods to avoid further impaction.
Diagnostic Results
0900:
Abdominal x-ray: Large amount of fecal material throughout the colon with rectal impaction. No evidence of small bowel obstruction.
Question 2 of 5
A nurse is providing teaching to a client who has constipation. Which of the following information should the nurse include?(Select all that apply.)
Correct Answer: C,D,E
Rationale: Including probiotic foods in the diet can help maintain a healthy gut flora, which is beneficial for digestion and preventing constipation. It is crucial to increase fluid intake, aiming for at least 1500 mL daily, to help soften the stool and support regular bowel movements. Increasing daily exercise, especially walking, can stimulate the muscles involved in the digestive process and help prevent constipation.
Extract:
Question 3 of 5
A nurse using the principle-based approach to client care seeks to avoid causing harm to clients in all situations. What is this principle known as?
Correct Answer: C
Rationale: Nonmaleficence is a core principle in healthcare ethics and emphasizes the primary duty of healthcare providers to do no harm to their clients.
Question 4 of 5
A patient with hypotension and an elevated temperature after working outside on a hot day is treated in the emergency department (ED). Which patient statement indicates to the nurse that discharge teaching has been effective?
Correct Answer: B
Rationale: Drinking extra fluids helps prevent dehydration and is an effective measure to prevent heat-related illness.
Question 5 of 5
A nurse is teaching a client about foods that are included on a clear liquid diet. Which of the following food choices made by the client indicates the need for further teaching?
Correct Answer: B
Rationale: Yogurt is not typically included on a clear liquid diet because it is not a clear liquid; it is a semi-solid food.