Questions 47

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ATI RN Test Bank

ATI Nur 112 Fundamentals of Nursing Exam Questions

Extract:


Question 1 of 5

The nurse is emptying an ileostomy pouch for a patient. Which assessment finding will the nurse report immediately?

Correct Answer: B

Rationale: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

Question 2 of 5

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer: A;B;D

Rationale: Limiting evening fluids, using anticholinergics, and avoiding caffeine reduce urgency.

Question 3 of 5

The nurse is preparing to test a patient for postvoid residual with a bladder scan. Which action will the nurse take?

Correct Answer: C

Rationale: Postvoid residual should be measured within 15 minutes of voiding for accuracy.

Question 4 of 5

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Correct Answer: D

Rationale: Anxiety can cause paruresis, making it difficult to void in the presence of others.

Question 5 of 5

A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client’s record?

Correct Answer: 740

Rationale:
Total: 120 mL (juice) + 180 mL (tea) + 50 mL (ice chips) + 150 mL (IV) + 240 mL (broth) = 740 mL.

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