ATI RN
ATI RN Fundamentals Exam 3 Questions
Extract:
Question 1 of 5
The home care nurse is assessing a client's abdomen 4 weeks after a colostomy in the descending colon was created. What are the expected findings of the a healthy client's abdominal assessment? (SELECT ALL THAT APPLY)
Correct Answer: A,B,C,D,E
Rationale: A healthy colostomy shows a shiny moist deep pink stoma intact peristomal skin flat abdomen and normal bowel sounds (8-10 clicks/gurgles per minute) indicating good perfusion and GI function.
Question 2 of 5
The client experiencing abdominal distention and severe vomiting has just had a nasogastric (NG) tube inserted. When teaching this client which rationale for the use of the NG tube should the nurse include?
Correct Answer: A
Rationale: The primary purpose of an NG tube in this scenario is to decompress the stomach by removing excess gas and fluid relieving abdominal distention and vomiting. Administering medications (
B) or determining pH (
C) are secondary uses often for tube placement confirmation. Supplying nutrients (
D) is inappropriate in acute vomiting due to risk of aspiration.
Question 3 of 5
The nurse knows the fecal output will be more solid from a stoma created from which area of the bowel?
Correct Answer: D
Rationale: The sigmoid colon near the rectum produces more solid stool due to water absorption. The transverse and ascending colon produce less solid stool and ileum output is liquid.
Question 4 of 5
A nurse caring for a client who has a peripheral intravenous saline lock understands that its purpose is to:
Correct Answer: C
Rationale: A peripheral IV saline lock maintains venous access for intermittent use allowing quick administration of medications or fluids when a client's condition changes without repeated venipuncture. It is not suitable for irritating solutions prolonged antibiotics or reliable blood draws.
Question 5 of 5
A client who has been taking benzodiazepine sedative every night for two weeks wishes to stop taking them now. The nurse advises the client to:
Correct Answer: A
Rationale: Gradual tapering of benzodiazepines under medical supervision minimizes withdrawal symptoms and rebound insomnia. Abrupt cessation weekend timing continued use or switching to antihistamines without guidance risks adverse effects.