ATI RN
ATI RN Fundamentals 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: ALT is an enzyme indicating liver function. It’s not for kidneys (
A) heart (
B) or clotting (
D).
Question 2 of 5
A nurse in an emergency department is assessing a client who reports right lower quadrant pain nausea and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Auscultating bowel sounds first assesses gastrointestinal function and helps diagnose conditions like appendicitis. Antiemetics (
A) and pain medication (
B) treat symptoms but don’t assess and palpation (
C) risks rupturing an inflamed appendix.
Question 3 of 5
A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?
Correct Answer: C
Rationale: The entry about the new dressing provides clear objective data about the procedure and wound condition. MSO (
A) lacks dose/route specificity "seems" and "appear" (
B) are subjective and no changes (
D) fails to document current assessment.
Question 4 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 5 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.