ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
The nurse auscultates the client's abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?
Correct Answer: B
Rationale: The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency. Listening for another minute is appropriate to confirm the absence of sounds. If no sounds are heard after additional time, auscultating for a total of 5 minutes or notifying the physician may be warranted. Listening posteriorly is not a standard practice for assessing bowel sounds.
Question 2 of 5
The nurse assesses the patient's visual acuity to be 20/25 using an eye chart. The patient asks what that means. Which of the following is the nurse's best response?
Correct Answer: C
Rationale: A visual acuity of 20/25 means the patient can read at 20 feet what a person with normal vision can read at 25 feet, indicating slightly below-average but normal-range vision.
Question 3 of 5
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Glyburide, a sulfonylurea, is used to manage gestational diabetes mellitus by stimulating insulin production. Levothyroxine treats hypothyroidism, nifedipine manages hypertension or preterm labor, and chlorpromazine is for psychiatric conditions or nausea, not diabetes.
Question 4 of 5
When assessing the anus, the nurse should inspect for: (Select all that apply)
Correct Answer: A,B,C
Rationale: When assessing the anus, the nurse should inspect for bleeding, hemorrhoids, and pain, as these are directly observable or reportable during an anal examination. Prostate enlargement is not directly assessed through an anal examination, as it requires a digital rectal exam, typically performed by a healthcare provider.
Question 5 of 5
The role of a registered nurse in a genitalia examination is mainly:
Correct Answer: A
Rationale: The primary role of a registered nurse in a genitalia examination is inspection, visually assessing for abnormalities, lesions, or infections. Palpation may also be performed to check for tenderness or lumps, but auscultation and percussion are not typically used.