ATI RN
ATI Fundamentals Exam East Wick College Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who is 12 hr postoperative following a colectomy with colostomy placement. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: A purplish stoma indicates compromised blood flow, requiring immediate reporting.
Question 2 of 5
A nurse is reviewing the medical record of an adolescent and notes a calcium level of 11.4 mEq/L. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hypercalcemia causes muscle hypotonicity due to decreased neuromuscular excitability.
Question 3 of 5
A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?
Correct Answer: D
Rationale: Lowering the solution container reduces flow rate, alleviating cramping.
Question 4 of 5
A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Lowering the solution bag reduces flow rate, easing cramping.
Question 5 of 5
A nurse is reinforcing teaching about a high-fiber diet with a client who has constipation. Which of the following statements indicates the client understands the best choice for a high-fiber diet?
Correct Answer: B
Rationale: Bran cereal is an excellent source of dietary fiber, providing higher fiber content per serving compared to almonds, sweet potatoes, or apples, making it the best choice for managing constipation.