ATI RN
ATI RN Fundamentals Updated 2023 Exam Questions
Extract:
Question 1 of 5
A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Keep the drainage bag below the level of the bladder. This is important to prevent backflow of urine into the bladder, reducing the risk of urinary tract infections. Placing the drainage bag below the level of the bladder ensures a continuous flow of urine out of the bladder and into the bag. Option B is incorrect as attaching the drainage bag to the side rails can cause tension on the catheter, leading to displacement or obstruction. Option C is incorrect as the drainage bag should be emptied when it is half-full to prevent backflow or infection. Option D is incorrect as taping the catheter to the lower abdomen can cause tension and discomfort.
Question 2 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: The correct answer is B: "You are worried about having to wear a colostomy bag?" This response acknowledges the client's feelings and opens up a dialogue to address their concerns. It shows empathy and allows the nurse to provide education and support.
Choice A is incorrect because it dismisses the client's worries.
Choice C is incorrect as it doesn't directly address the client's concerns.
Choice D is incorrect as it focuses on the surgical aspect rather than the client's emotional needs.
Question 3 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: The correct answer is D: Expose the client's abdomen to look for changes in appearance. This action should be taken first because sudden, severe abdominal pain postoperatively can indicate a serious complication like internal bleeding or bowel perforation. By exposing the abdomen, the nurse can visually assess for signs of distention, discoloration, or any other abnormality that may indicate a surgical complication. This visual assessment can provide crucial information to guide further interventions.
Choices A, B, and C involve assessment techniques that may be important in evaluating the client's condition, but they should be secondary to visually inspecting the abdomen in this urgent situation.
Choice A focuses on bowel sounds, which may not be reliable in a postoperative client experiencing sudden severe pain.
Choice B involves palpation, which could potentially exacerbate any existing complications.
Choice C refers to assessing areas of resonance, which is less urgent compared to visually inspecting for immediate changes in the abdomen.
In summary, visually inspecting the client's
Question 4 of 5
A nurse is assessing an older adult client. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: The correct answer is B: Decreased sense of balance. As people age, their sense of balance tends to decrease due to changes in vision, inner ear function, muscle strength, and joint flexibility. This can increase the risk of falls and injuries in older adults. The other choices are incorrect because heightened sense of pain (
A) is not a typical finding in older adults, increased nighttime sleeping (
C) may occur but it is not a universal finding, and nighttime urinary incontinence (
D) is common but not a definitive finding in all older adults.
Question 5 of 5
A nurse is planning to discharge a client who has diabetes mellitus and a new prescription for insulin. Which of the following actions should the nurse plan to complete first?
Correct Answer: B
Rationale: The correct answer is B: Determine whether the client can afford the insulin administration supplies. This should be the nurse's first priority because it directly impacts the client's ability to adhere to the prescribed treatment plan. If the client cannot afford the supplies, they may not be able to properly manage their diabetes, leading to serious complications. Ensuring affordability promotes client safety and adherence.
A: Making a copy of the medication reconciliation form can be done later and is not as urgent as addressing the client's financial concerns.
C: Providing the client with a contact number for a diabetes education specialist is important but addressing affordability should come first.
D: Obtaining printed information about insulin self-administration is important but not as critical as ensuring the client can afford the supplies.