ATI RN
RN ATI Fundamentals of Nursing Questions
Extract:
Question 1 of 5
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Holding the container 30 cm above the anus ensures effective gravitational flow for the enema.
Choice B is impractical
Choice C lacks sufficient height and
Choice D is vague.
Question 2 of 5
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Holding the container 30 cm above the anus ensures effective gravitational flow for the enema.
Choice B is impractical
Choice C lacks sufficient height and
Choice D is vague.
Question 3 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 4 of 5
A nurse is reviewing the laboratory results of a client who has a pressure ulcer. The nurse should identify an elevation in which of the following laboratory values as an indication that the client has developed an infection?
Correct Answer: B
Rationale: Elevated WBC count (
B) indicates infection due to immune response. Other values are not specific to infection.
Question 5 of 5
A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include?
Correct Answer: A,B,C
Rationale: Residual urine measurement (
A) perineal wound protection (
B) and urinary retention relief (
C) are valid indications.
Choices D and E increase infection risk.