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ATI RN Fundementals Exam With question and correct answers A nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention? A. Have the client hold his breath briefl€19,92
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ATI RN Fundementals Exam With question and correct answers A nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention? A. Have the client hold his breath briefl
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ATI RN Fundementals 2023-2024
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ATI RN Fundementals 2023-2024
ATI RN Fundementals
Exam With
question and correct
answers
A nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the
following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. R...
ATI RN Fundementals
2023-2024 Exam With
question and correct
answers
,A nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the
following is the appropriate intervention?
A. Have the client hold his breath briefly
B. Discontinue the fluid instillation
C. Remind the client that cramping is common at this time
D. Lower the enema fluid container - correct answer-D.
This will slow the rate of instillation & relieve some discomfort
A nurse is caring for a client who has been sitting in a chair for 3 hrs. Which of the following problems is
the client at risk for developing?
A. Stasis of secretions
B. Muscle atrophy
C. Pressure ulcer
D. Fecal impaction - correct answer-Answer: C
Unrelieved pressure over a bony prominence for too long increases the risk of a pressure ulcer
A-sitting will help prevent stasis of secretions
B and D-these are from prolonged bed rest
A nurse is caring for an older adult client who is at risk for developing pressure ulcers. Which of the
following interventions should the nurse use to help maintain the integrity of the client's skin? Select all.
A. Keep the head of the bed elevated 30 degrees
B. Massage the client's bony prominences often
C. Apply cornstarch liberally to the skin after bathing
D. Have the client sit on a gel cushion when in a chair
E. Reposition the client at least Q 3 hr while in bed - correct answer-A, D
not E because it should be at least every 2 hours
,Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - correct
answer-Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the
following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - correct answer-C. Reapplying a condom catheter for a
client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse may
delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of
the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - correct answer-B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following
assignments should the LPN question?
, A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - correct answer-D. Replacing the cartridge and
tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following elements should she
identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - correct answer-B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is
awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - correct answer-B. RN
A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable.
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