ATI RN
ATI Fundamentals Exam Nursing 100 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is preparing to complete a digital removal of a fecal impaction. What statement indicates the nurse has an appropriate understanding of this procedure? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Using a lubricated finger clean (not sterile) gloves and side-lying position are correct. A physician’s order is typically needed but not selected and the mass is broken up not removed whole.
Question 2 of 5
The type of stool that will be expelled into the ostomy bag by a client who has undergone surgery for an ileostomy will be:
Correct Answer: A
Rationale: Stool expelled into an ileostomy bag is often of liquid consistency due to the diversion of the small intestine where less water is absorbed compared to the large intestine. Bloody or mucus-filled stool is not typical and soft semi-formed stool is more characteristic of a colostomy.
Question 3 of 5
The nurse is leading an exercise class for a group of adults aged 65 years and older. The nurse incorporates isotonic,isometric and isokinetic exercises into the class. Which activity is an isometric exercise?
Correct Answer: B
Rationale: Contracting the gluteal muscles while holding a simple yoga pose is an isometric exercise involving muscle contraction without joint movement. Carrying a ball walking and lifting the knee are isotonic exercises involving joint motion.
Question 4 of 5
A nurse is assessing bowel sounds on post-operative day 2 abdominal surgery patients. He does not hear bowel sounds. What should the nurse conclude about his findings?
Correct Answer: A
Rationale: The absence of bowel sounds on post-operative day 2 may indicate paralytic ileus a temporary impairment of bowel motility lasting 3-5 days common after abdominal surgery. It’s not normal for all patients and while abnormal if prolonged notification depends on clinical context.
Question 5 of 5
A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke,but the care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?
Correct Answer: B
Rationale: Semi-Fowlers positioning with the head of the bed elevated at a 30 to 45 degree angle is recommended for clients with dysphagia to prevent aspiration and promote effective swallowing. Supine increases aspiration risk and Low-Fowlers or Fowlers are less optimal for swallowing safety.