Questions 67

ATI RN

ATI RN Test Bank

RN ATI Fundamentals of Nursing Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?

Correct Answer: A

Rationale: Observing respiratory status (
A) is the priority due to aspiration risk in decreased consciousness. Other actions are secondary.

Question 2 of 5

A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?

Correct Answer: B

Rationale: Auscultating before percussion or palpation ensures accurate bowel sound assessment. Other choices disrupt natural sounds.

Question 3 of 5

A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?

Correct Answer: D

Rationale: Temporary urinary retention is common post-catheter removal in older adults due to bladder readjustment.
Choice A is not expected
Choice B requires reporting and
Choice C suggests dehydration not a direct outcome.

Question 4 of 5

A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning?

Correct Answer: D

Rationale: Industry vs. inferiority (6-12 years) is relevant for a 9-year-old focusing on competence and self-esteem critical for asthma management. Other stages apply to different ages.

Question 5 of 5

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Locking the wheels of both the bed and wheelchair ensures stability during the transfer preventing movement that could lead to falls or injuries.
Choice A prioritizes nurse comfort over client safety which is inappropriate.
Choice B may be excessive unless the client’s condition requires it.
Choice C is incorrect as a 90° angle complicates pivoting and increases fall risk.

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