Questions 34

ATI RN

ATI RN Test Bank

ATI Fundamentals Carugda Custom Exam Questions

Extract:


Question 1 of 5

A nurse is participating in the care plan for a patient with an intestinal obstruction who is undergoing continuous gastrointestinal decompression using a nasogastric tube. What interventions should the nurse include in the care plan?

Correct Answer: A ,B ,D

Rationale: Measuring abdominal girth (
A) monitors obstruction changes Fowler’s position (
B) aids drainage and sterile water irrigation (
D) maintains tube patency. Lemon glycerin swabs (
C) can dry lips and are not recommended.

Question 2 of 5

A nurse is participating in the care plan for a patient with an intestinal obstruction who is undergoing continuous gastrointestinal decompression using a nasogastric tube. What interventions should the nurse include in the care plan?

Correct Answer: A ,B ,D

Rationale: Measuring abdominal girth (
A) monitors obstruction changes Fowler’s position (
B) aids drainage and sterile water irrigation (
D) maintains tube patency. Lemon glycerin swabs (
C) can dry lips and are not recommended.

Question 3 of 5

A nurse is contributing to the plan of care for a client who is postoperative following peritoneal lavage for peritonitis. The client has a nasogastric tube to low-intermittent suction and closed-suction drains in place. Which of the following interventions should the nurse include in the plan?

Correct Answer: C

Rationale: High Fowler’s position (C 45-60 degrees) reduces abdominal pressure promotes lung expansion and prevents aspiration aiding recovery. Tap water irrigation (
A) risks infection daily girth measurement (
B) is insufficient for rapid changes and ambulation (
D) may dislodge drains or cause discomfort early post-surgery.

Question 4 of 5

A nurse is assigned care of a patient who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this patient?

Correct Answer: B

Rationale: Standard precautions (
B) protect against HIV transmitted via blood and body fluids. Airborne (
A) and droplet (
C) apply to respiratory pathogens and contact (
D) to surface pathogens like MRSA.

Question 5 of 5

A nurse is collecting data on a client who has had diarrhea for several days. Which of the following findings should the nurse expect?

Correct Answer: B

Rationale: Hypothermia is not a typical finding in a client who has had diarrhea for several days. Diarrhea does not typically affect the body’s ability to regulate temperature.Dehydration is a common finding in a client who has had diarrhea for several days. Diarrhea can lead to significant fluid and electrolyte loss, causing dehydration.Decreased bowel sounds are not typically associated with diarrhea. In fact, hyperactive bowel sounds are more common due to increased intestinal motility.A rigid abdomen is not a typical finding in a client who has had diarrhea for several days. A rigid abdomen may indicate a serious condition such as peritonitis or bowel obstruction, which are not typically associated with diarrhea

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