ATI RN
ATI Nur 112 Fundamentals of Nursing Exam Questions
Extract:
Question 1 of 5
The nurse performing a fecal occult blood test should take what action?
Correct Answer: A
Rationale: The correct answer is A: Report a positive finding to the provider. This is important because a positive fecal occult blood test result may indicate gastrointestinal bleeding, which could be a sign of serious conditions such as colorectal cancer. Reporting this finding promptly allows the healthcare provider to further investigate and provide appropriate treatment.
Donning sterile disposable gloves (
B) is important for infection control but not specifically for performing a fecal occult blood test. Testing the quality control section before testing the stool specimen (
C) is essential for accuracy but does not address the immediate action needed for a positive finding. Applying liberal amounts of stool to the guaiac paper (
D) is incorrect as it can lead to false positives.
Question 2 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: The correct answer is C: Measure bladder within 15 minutes after the patient voids. This is because postvoid residual measurement is done after the patient has emptied their bladder to assess if there is any urine left. Waiting within 15 minutes ensures an accurate assessment of the remaining urine volume.
Choice A and B are incorrect because the head of the bed position does not impact the accuracy of the bladder scan measurement.
Choice D is incorrect because measuring the bladder before voiding defeats the purpose of determining postvoid residual.
Choices E, F, and G are not provided in the question.
Question 3 of 5
A nurse is teaching a client who is scheduled for a cystoscopy. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A. The nurse should include information about having pink-tinged urine after a cystoscopy due to minor bleeding from the procedure. This is important for the client to be aware of to avoid unnecessary anxiety.
Choice B is incorrect because adequate hydration is necessary post-procedure to flush out any contrast dye used.
Choice C is incorrect as the client is usually placed on their back during a cystoscopy.
Choice D is incorrect as a clear liquid diet is recommended before the procedure to prevent aspiration.
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: The correct answer is D: The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. When a patient is anxious, the sympathetic nervous system is activated, leading to muscle tension and difficulty relaxing. This can affect the ability to void. The frustration expressed by the patient indicates a possible underlying anxiety contributing to the inability to void.
Incorrect options:
A: The patient being lonely and seeking attention does not explain the physiological inability to void.
B: Lack of recognition of physiological signals is unlikely if the patient requested assistance to void.
C: Inadequate fluid intake may lead to decreased urine output but does not explain the inability to void in this specific situation.
Question 5 of 5
A nurse is caring for a client and observes that the client's urine is dark amber, cloudy, and has an unpleasant odor. The nurse should recognize that these findings are associated with which of the following?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection (UTI). Dark amber, cloudy, and foul-smelling urine are common indicators of a UTI. The dark amber color could be due to concentrated urine caused by inflammation. The cloudiness is often a result of bacteria, white blood cells, and pus in the urine. The unpleasant odor is a sign of infection. Urinary retention (
B) typically presents with difficulty in emptying the bladder, not changes in urine appearance. Urinary incontinence (
C) refers to involuntary leakage of urine and does not directly affect the appearance or odor of urine. Urinary frequency (
D) is an increased urge to urinate more often and does not typically cause changes in urine appearance.