Questions 54

ATI RN

ATI RN Test Bank

ATI Fundamentals Quiz Questions

Extract:


Question 1 of 5

A nurse is teaching a newly licensed nurse about a nonrebreather oxygen mask. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: A snug fit ensures effective delivery of high-concentration oxygen with a nonrebreather mask.

Question 2 of 5

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

Correct Answer: A,D,E

Rationale: Crackles, bounding pulse, and pitting edema indicate fluid volume excess due to pulmonary edema, increased blood volume, and fluid retention, respectively.

Question 3 of 5

You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?

Correct Answer: B

Rationale: Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.

Question 4 of 5

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer: D

Rationale: A sigmoid colostomy stoma is typically located in the left lower abdomen.

Question 5 of 5

A nurse is teaching a client who has strained her back muscles while preparing to move to a new apartment. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: Bend at the knees when picking up an object: This technique helps distribute the weight of the object and reduces strain on the back muscles. Relax her abdominal muscles when she lifts an object: Tensing the abdominal muscles can provide core support, but relaxing them while lifting can increase the risk of injury. Twist at the waist when she moves an object to one side: Twisting at the waist can strain the back muscles and should be avoided. Hold an object away from her body as she lifts it: Holding objects close to the body reduces strain on the back muscles and is a good technique to prevent injury.

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