PN ATI Capstone Fundamentals Quiz

Questions 48

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PN ATI Capstone Fundamentals Quiz Questions

Question 1 of 5

A nurse is caring for a client who has an indwelling urinary catheter. What should the nurse identify as a sign of catheter occlusion?

Correct Answer: A

Rationale: Bladder distention indicates the inability to empty the bladder, which can be a sign of catheter occlusion.

Question 2 of 5

A nurse is completing an admission assessment for a client who has hearing loss. What action should the nurse take?

Correct Answer: B

Rationale: Using written communication can help ensure that the client understands the information being conveyed.

Question 3 of 5

A nurse is performing a focused assessment for a client who has dysrhythmias. What indicates ineffective cardiac contractions?

Correct Answer: B

Rationale: A pulse deficit indicates ineffective cardiac contractions and the presence of cardiac dysrhythmias.

Question 4 of 5

A nurse is documenting client care. Which of the following entries should the nurse identify as an example of implementation of client care?

Correct Answer: B

Rationale: Documenting that medications were administered as prescribed is an example of the implementation of client care.

Question 5 of 5

A nurse is assessing the IV infusion site of a client who reports pain at the site. The site is red and there is warmth along the course of the vein. What should the nurse do?

Correct Answer: C

Rationale: The symptoms suggest phlebitis. The nurse should discontinue the infusion and may apply a warm compress.

Similar Questions

A nurse is assessing the IV infusion site of a client who reports pain at the site. The site is red and there is warmth along the course of the vein. What should the nurse do?
A nurse is reviewing the health history of an older adult who has a hip fracture. The nurse should identify what is a risk factor for developing pressure injuries?
A nurse is admitting a client who has recently developed fever, confusion, and a decreased level of consciousness. Which of the following actions should the nurse take first after obtaining the client's history and assessment?
A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. Which of the following actions should the nurse take to prevent contamination during the dressing change?
A nurse is monitoring a client who has been receiving intermittent enteral feedings. What should the nurse identify as an intolerance to the feeding?

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