Questions 43

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ATI RN Test Bank

ATI Medsurg Exam 5 Questions

Extract:


Question 1 of 5

The nurse is performing a physical examination on a client. Which of the following should be an appropriate action by the nurse to prevent the spread of infection during a physical examination?

Correct Answer: A

Rationale: Hand washing before and after client encounters is critical to prevent infection transmission, unlike selective glove use or skipping post-glove hygiene.

Question 2 of 5

The nurse is assessing a client in the emergency department who complains of acute pain in the abdomen. Which of the following should be the priority action by the nurse?

Correct Answer: C

Rationale: Assessing the type and cause of abdominal pain is the priority to guide appropriate treatment, avoiding premature medication or delays.

Question 3 of 5

The nurse recognizes that the client's record, laboratory studies, objective data, and subjective data combine to form which of the following?

Correct Answer: B

Rationale: The database compiles all client health data, including records, labs, and subjective/objective findings, for comprehensive care planning.

Question 4 of 5

The nurse is assessing the intensity of a client's pain. Which of the following should be the appropriate question by the nurse?

Correct Answer: B

Rationale: Asking 'How much pain do you have now?' directly assesses pain intensity, unlike questions about function, quality, or aggravating factors.

Question 5 of 5

The nurse is assessing a client's pain. The nurse should recognize which of the following is the most reliable indicator of pain?

Correct Answer: B

Rationale: The client's subjective report is the most reliable pain indicator, as pain is a personal experience, unlike vital signs or nurse intuition.

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