ATI RN
ATI Nursing 135 Exam Spring 2023 Questions
Extract:
Question 1 of 5
A nurse is ready to insert an indwelling urinary catheter for a female client. Which of the following instructions should the nurse provide to the client as the catheter is inserted?
Correct Answer: A
Rationale: Bearing down relaxes the urethral sphincter, facilitating catheter insertion.
Question 2 of 5
A nurse is developing a teaching plan for a client who has an ileostomy and will require stoma care. Which of the following information should the nurse include?
Correct Answer: C
Rationale: Emptying the pouch when 1/3 full prevents leakage and maintains skin integrity, a key stoma care principle.
Question 3 of 5
A nurse is providing teaching for a client diagnosed with gastroesophageal reflux disease (GERD) about ways to manage the condition. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Waiting 1 hour before lying down reduces reflux by allowing gastric emptying, a key GERD management strategy.
Question 4 of 5
A nurse is preparing to administer a dose of lactulose to a client diagnosed with cirrhosis. The client states, 'I don't need this medication. I am not constipated.' The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
Correct Answer: B
Rationale: Lactulose reduces ammonia levels in cirrhosis by promoting its excretion, preventing hepatic encephalopathy.
Question 5 of 5
A nurse is planning care for a client who has cirrhosis of the liver. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Correct Answer: B,D,E
Rationale: Measuring girth monitors ascites, furosemide reduces fluid retention, and a low-sodium diet prevents fluid buildup in cirrhosis.