ATI RN
ATI RN Custom Nursing 221 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Checking for kinks is a simple, non-invasive first step to restore drainage.
Question 2 of 5
A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
Correct Answer: D
Rationale: Limiting alcohol intake reduces uric acid levels, helping manage gout.
Question 3 of 5
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
Correct Answer: B
Rationale: Impaired tissue perfusion is the priority due to poor blood flow causing ulcerations and edema.
Question 4 of 5
A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?
Correct Answer: A
Rationale: HIV is primarily transmitted through infected body fluids.
Question 5 of 5
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
Correct Answer: A
Rationale: Restlessness is an early sign of increased ICP due to brain pressure.