ATI RN
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ATI RN Fundamentals 2019 II Questions
Extract:
Question
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1 of 5
A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden severe abdominal pain. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Exposing the abdomen first allows visual inspection for complications like wound dehiscence or infection which could explain severe pain. Auscultation (
A) and percussion (
C) are secondary and palpation (
B) risks worsening pain or disrupting the wound.
Question 2 of 5
A nurse is caring for a client who has colon cancer and is scheduled for a colon resection with a possible colostomy. Before the procedure the client tells the nurse "I'm worried about that bag." Which of the following is an appropriate response by the nurse?
Correct Answer: B
Rationale: Restating the concern validates the client’s feelings and encourages discussion. Waiting (
A) dismisses concerns personal questions (
C) divert focus and false reassurance (
D) minimizes the issue.
Question 3 of 5
A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Obtaining vital signs first assesses for fluid overload complications like pulmonary edema. Documentation (
A) incident reports (
B) and reporting (
D) follow after ensuring client safety.
Question 4 of 5
A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?
Correct Answer: D
Rationale: Delirium has an abrupt onset within hours or days. It disrupts sleep (
A) causes perceptual disturbances (
B) and is rapid not slow (
C).
Question 5 of 5
A community health nurse is teaching a group of clients about Kegel exercises to prevent urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Contracting pelvic muscles strengthens the pelvic floor improving bladder control. Holding breath (
A) worsens incontinence 2 weeks (
C) is unrealistic and tightening buttocks (
D) interferes with pelvic isolation.