ATI RN
ATI RN Fundamental Proctored Exam With NGN Graded Questions
Extract:
Question 1 of 5
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
Correct Answer: D
Rationale: The correct answer is D: Lower the enema fluid container. Lowering the enema fluid container helps regulate the flow rate and reduce the pressure on the client's abdomen, alleviating cramping. Holding the breath (
A) may increase intra-abdominal pressure, exacerbating cramping. Discontinuing the fluid instillation (
B) without addressing the cause of cramping can lead to incomplete cleansing. Reminding the client that cramping is common (
C) does not address the discomfort and may not provide relief. Lowering the container (
D) is the most appropriate intervention to manage cramping during the enema administration.
Question 2 of 5
A nurse is caring for a client who is receiving morphine via a PCA infusion device after abdominal surgery. Which of the following statements indicates that the client knows how to use the device?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates understanding of the PCA device. The client acknowledges the need to communicate with the nurse if pain persists after using the device, indicating awareness of the device's purpose and the importance of monitoring pain levels.
Choice A shows hesitation, which may delay effective pain management.
Choice B suggests fear of overdose but lacks understanding of the device's safety features.
Choice D poses a safety risk by involving an unauthorized person in medication administration.
Choices E, F, and G are irrelevant as they do not address the proper use of the PCA device.
Question 3 of 5
A nurse is caring for a client who has been sitting in a chair for 3 hours. Which of the following problems is the client at risk for developing?
Correct Answer: C
Rationale: The correct answer is C: Pressure ulcer. Prolonged sitting can lead to decreased blood flow and pressure on bony prominences, increasing the risk of pressure ulcers. Stasis of secretions (
A) may occur but is not directly related to sitting position. Muscle atrophy (
B) is more common with immobility. Fecal impaction (
D) is a risk with immobility but not specific to sitting for an extended period.
Question 4 of 5
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention?
Correct Answer: D
Rationale: The correct answer is D: Lower the enema fluid container. Lowering the enema fluid container helps regulate the flow rate and reduce the pressure on the client's abdomen, alleviating cramping. Holding the breath (
A) may increase intra-abdominal pressure, exacerbating cramping. Discontinuing the fluid instillation (
B) without addressing the cause of cramping can lead to incomplete cleansing. Reminding the client that cramping is common (
C) does not address the discomfort and may not provide relief. Lowering the container (
D) is the most appropriate intervention to manage cramping during the enema administration.
Question 5 of 5
A client who will undergo neurosurgery the following week tells the nurse in the surgeon's office that he will prepare his advance directives before he goes to the hospital. Which of the following statements by the client indicates to the nurse that he understands advance directives?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates understanding of advance directives because it expresses the client's specific wishes regarding medical treatment, which is a key aspect of advance directives. By stating that he doesn't want to be kept on a breathing machine, the client is making a clear directive about his end-of-life care preferences. This shows that he understands the purpose of advance directives and is able to make informed decisions about his healthcare.
Choice A is incorrect because it shows confusion about who can make decisions, which is not directly related to understanding advance directives.
Choice B is incorrect because it focuses on the surgery rather than the purpose of advance directives.
Choice D is incorrect because it involves getting the regular doctor's approval, which is not necessary for advance directives.