Questions 35

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ATI RN Test Bank

ATI Nur 237 Fundamentals Quiz Questions

Extract:


Question 1 of 5

A patient who recently underwent abdominal surgery is complaining of severe abdominal pain and has a distended abdomen. Which of the following interventions should the nurse do first?

Correct Answer: C

Rationale: The nurse must assess before taking action to identify possible complications (e.g., bowel obstruction).

Question 2 of 5

The nurse is providing care to a client admitted with pressure injuries. The nurse develops a plan of care focusing on healing measures and prevention of further injury. Which task does the nurse delegate to the nursing assistive personnel (NAP)?

Correct Answer: A

Rationale: Turning and repositioning is a routine, non-clinical task that can be safely delegated to NAP to help prevent pressure injuries.

Question 3 of 5

Which of the following signs is most indicative of impaired skin integrity?

Correct Answer: B

Rationale: Partial-thickness skin loss indicates that the protective barrier of the skin has been compromised. This is a clear sign of impaired skin integrity, which requires appropriate assessment and intervention to promote healing and prevent infection.

Question 4 of 5

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

Correct Answer: B

Rationale: The assessment phase involves gathering subjective and objective data about the patient. Asking about allergies is part of the initial health history to ensure safe care planning.

Question 5 of 5

The nurse begins discharge planning for an older adult with left-side weakness. Which action is most important in ensuring that the discharge plan is successful?

Correct Answer: C

Rationale: Effective discharge planning is patient-centered, ensuring that goals align with their preferences, abilities, and resources.

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