ATI RN Fundamentals 2019 II | Nurselytic

Questions 55

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ATI RN Fundamentals 2019 II Questions

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Question 1 of 5

A nurse is preparing to perform a physical assessment of a client's abdomen. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Provide adequate lighting to inspect the abdomen.
Listen to the abdominal arteries using the bell of a stethoscope.
Percuss all four quadrants of the abdomen to measure sound quality.
Check for areas of tenderness by pressing fingers 1.3 cm (0.5 in) into the abdomen.
Locate liver and spleen borders by pressing hands 2.5 to 7.5 cm (1 to 3 in) into the abdomen.

Correct Answer: A B C D E

Rationale: The correct order is A B C D E. First, providing adequate lighting (
A) ensures a clear view. Listening to abdominal arteries (
B) can reveal abnormal sounds. Percussing all four quadrants (
C) assesses for organ size and presence of fluid or air. Checking for tenderness (
D) identifies painful areas. Finally, locating liver and spleen borders (E) helps assess organ size and position.

Choices F and G are not relevant to the sequence of a physical assessment of the abdomen.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

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Rationale:

Question 4 of 5

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Question 5 of 5

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Rationale:

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