ATI RN
ATI Nursing 135 Exam Spring 2023 Questions
Extract:
Question 1 of 5
A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Emptying the pouch when 1/3 full prevents leakage and maintains skin integrity, a key stoma care principle.
Question 2 of 5
A nurse is assessing a client diagnosed with peptic ulcer disease. Which of the following findings should the nurse identify as the priority?
Correct Answer: C
Rationale: Hematemesis (vomiting blood) is the priority finding in peptic ulcer disease, indicating possible severe bleeding.
Question 3 of 5
A nurse is caring for a client who has gastrointestinal bleeding. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assessing orthostatic blood pressure first evaluates for hypovolemia, a critical concern in gastrointestinal bleeding.
Question 4 of 5
A nurse is teaching an older adult client diagnosed with diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Stable blood glucose levels prevent microvascular damage, reducing the risk of retinopathy and nephropathy.
Question 5 of 5
A nurse is teaching a client who has a prescription of a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the nasogastric tube should the nurse include in the teaching?
Correct Answer: C
Rationale: An NG tube decompresses the stomach in pyloric obstruction by removing gastric contents, relieving pressure.