ATI RN
ATI Nurse 142 Final Questions
Extract:
Question 1 of 5
When assessing the breast, the nurse would teach the patient to palpate which of the following areas?
Correct Answer: A,B,C
Rationale: The nurse should teach the patient to palpate all four quadrants of the breast (upper outer, lower inner, upper inner) and the tail of Spence, the extension of breast tissue into the axilla. This ensures a comprehensive self-examination to detect any abnormalities.
Question 2 of 5
The nurse auscultates the client's abdomen for 1 minute and does not hear any bowel sounds. What should the nurse do next?
Correct Answer: B
Rationale: The absence of bowel sounds for one minute does not necessarily indicate a surgical emergency. Listening for another minute is appropriate to confirm the absence of sounds. If no sounds are heard after additional time, auscultating for a total of 5 minutes or notifying the physician may be warranted. Listening posteriorly is not a standard practice for assessing bowel sounds.
Question 3 of 5
When assessing the abdomen, the nurse would expect to auscultate which sounds?
Correct Answer: A
Rationale: When assessing the abdomen, the nurse would expect to auscultate bowel sounds, which are the sounds made by the movement of gas and fluid through the intestines. The normal bowel sounds are characterized as high-pitched, gurgling, and occurring at a rate of 5-30 sounds per minute. Bruits are abnormal sounds indicating turbulent blood flow and are usually assessed in other areas of the body, such as the epigastric and renal arteries, as well as in the aorta. Friction rubs are also abnormal sounds, but they are typically heard during auscultation of the heart and lungs. Low-pitched sonorous sounds are not typical sounds that are expected to be heard during an abdominal assessment.
Question 4 of 5
A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?
Correct Answer: A
Rationale: Glyburide, a sulfonylurea, is used to manage gestational diabetes mellitus by stimulating insulin production. Levothyroxine treats hypothyroidism, nifedipine manages hypertension or preterm labor, and chlorpromazine is for psychiatric conditions or nausea, not diabetes.
Question 5 of 5
Some of the factors that negatively affect nutrition in the older adult include which of the following? (Select all that apply)
Correct Answer: A,B,D
Rationale: Low economic status, self-care deficits, and dental problems can negatively affect nutrition in older adults by limiting access to food, impairing the ability to prepare or consume food, or affecting chewing and digestion. A healthy diet is a positive factor and does not negatively impact nutrition.