ATI RN Fundamentals 2023 Exam 3 | Nurselytic

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ATI RN Fundamentals 2023 Exam 3 Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Encouraging fluids (
C) promotes urine output, addressing retention non-invasively first. Running water (
A) helps some, supine (
B) hinders voiding, and catheterization (
D) is a last resort.

Question 2 of 5

A nurse is caring for a client who has a traumatic brain injury and needs to relearn how to use eating utensils. The nurse should refer the client to which of the following members of the interprofessional team?

Correct Answer: B

Rationale: Occupational therapists (
B) specialize in ADLs like eating. Social workers (
A) handle psychosocial issues, speech therapists (
C) focus on swallowing, and physical therapists (
D) address mobility.

Question 3 of 5

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

Correct Answer: D

Rationale: The three-point gait (
D) advances crutches and the affected leg together, then the unaffected leg, ideal for one-leg weight-bearing. Two-point (
A) and four-point (
C) require bilateral weight, and swing-through (
B) is for non-weight-bearing.

Question 4 of 5

A nurse is considering placing wrist restraints on a client who has cognitive deficits and has pulled out their IV catheter. Before using wrist restraints, which of the following actions must the nurse take first?

Correct Answer: D

Rationale: Attempting less restrictive alternatives (
D) is the first step, per least-restrictive principles, before restraints. Prescription (
A), documentation (
B), and explanation (
C) follow if needed.

Question 5 of 5

A nurse is completing discharge teaching about ostomy care with a client who has a new stoma. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer: B,C,D

Rationale: Pouch opening 1/8 inch larger (
B) fits well, emptying at one-third (
C) prevents leaks, and gauze (
D) protects during changes. Povidone-iodine (
A) irritates, and purple-blue (E) signals poor blood flow, not healing.

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