Questions 66

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ATI RN Test Bank

ATI Pediatric Nursing n100 Exam Questions

Extract:

A 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days.


Question 1 of 5

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

Correct Answer: B

Rationale: Orthostatic BP and pulse changes indicate volume depletion, directly assessing fluid status in suspected dehydration.

Extract:

A client who has a history of constipation.


Question 2 of 5

A client who has a history of constipation asks the nurse how to prevent straining during defecation. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: Increasing intake of fruits and vegetables provides dietary fiber, which adds bulk to stool and facilitates easier defecation.

Extract:

A client who expresses concerns about sexual orientation.


Question 3 of 5

The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Correct Answer: B

Rationale: Communicating an open, accepting attitude establishes a safe space, encouraging the client to discuss concerns freely per the PLISSIT model.

Extract:

A client under extreme stress.


Question 4 of 5

A client who is under extreme stress will have an increased production of antidiuretic hormone (ADH) and aldosterone. The nurse should expect a decrease in which clinical finding?

Correct Answer: B

Rationale: Increased ADH and aldosterone promote water retention, reducing urinary output to conserve fluid volume during stress.

Extract:

A client discussing their sexuality.


Question 5 of 5

When assessing a client's sexuality, the nurse is aware that one's own personal values and attitudes:

Correct Answer: B

Rationale: Exploring personal values before the discussion ensures the nurse approaches it with sensitivity and professionalism, avoiding bias.

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