Questions 49

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ATI RN Test Bank

ATI Nurs 105 Fundamentals Final Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has not voided for 8 hours following the removal of an indwelling urinary catheter. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Bladder scan assesses retention non-invasively, unlike immediate catheterization, bathroom assistance, or fluids.

Question 2 of 5

A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client statements is a sign of cognitive distortion?

Correct Answer: D

Rationale: All-or-nothing thinking reflects cognitive distortion, unlike fitness desires, rituals, or weight fears.

Question 3 of 5

A charge nurse is observing a newly-licensed nurse insert an indwelling urinary catheter for a male client. Which of the following actions by the newly-licensed nurse requires intervention by the charge nurse?

Correct Answer: B

Rationale: Pulling after balloon inflation risks injury, unlike sterile gloves, securing tubing, or lubrication.

Question 4 of 5

A nurse is assessing a client who has insomnia. Which of the following questions is the highest priority for the nurse to ask the client?

Correct Answer: B

Rationale: Driving sleepiness indicates safety risks, unlike onset, routine, or factors.

Question 5 of 5

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Correct Answer: A

Rationale: Pushing feet against palms assesses lower extremity strength, unlike pulses (circulation), coordination, or subjective reports.

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