Questions 45

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ATI Nurse 142 Final Questions

Extract:


Question 1 of 5

The nurse is mapping the client's abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)

Correct Answer: A

Rationale:
To map the abdomen into four quadrants, the nurse uses the umbilicus as the central landmark, drawing imaginary lines vertically and horizontally through it. The midclavicular lines, sternum, and lower border of the ribs are not used for this purpose.

Question 2 of 5

Which of the following are primary nutrients? (Select all that apply)

Correct Answer: B,C

Rationale: Primary nutrients provide energy and building blocks for the body. Fats and carbohydrates (CHO) are macronutrients that supply energy. Hemoglobin is a protein in red blood cells, and lipase is an enzyme, not nutrients.

Question 3 of 5

The nurse is admitting a client of the Muslim faith during the holy month of Ramadan. The client tells the nurse that he must fast during this time. Which response by the nurse is the most appropriate?

Correct Answer: D

Rationale: Asking 'What can we do to accommodate your needs during your stay here?' respects the client's religious beliefs and opens a dialogue to develop a care plan that aligns with their values. Other options are dismissive or insensitive to the client's faith.

Question 4 of 5

The patient has voided this am. the nurse will inspect the urine for which of the following?

Correct Answer: C

Rationale: The nurse inspects urine for clarity (to detect particles or bacteria), odor (to identify infections or conditions), and amount (to assess hydration and kidney function). Consistency, articulation, residual, and firmness are not applicable to urine inspection.

Question 5 of 5

The nurse is assessing the patient's ear. The correct procedure for straightening the ear canal of an adult is to pull the pinna…

Correct Answer: B

Rationale: For an adult, the correct method to straighten the ear canal during examination is to pull the pinna up and back. This maneuver aligns the ear canal for better visualization of the tympanic membrane and inner structures. Pulling down and back is appropriate for children under 3, while the other options do not correctly align the canal.

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