ATI RN
ATI RN Custom Exams Set 2
1. Which of the following nursing interventions is important for a client scheduled to have a Guaiac Test?
- A. Avoid turnips, radish, and horseradish 3 days before
- B. Continue iron preparation to prevent further loss of iron
- C. Do not consume red meat 12 hours before the procedure
- D. Encourage consumption of dark-colored foods with caffeine
Correct answer: A
Rationale: The correct answer is A. Turnips, radish, and horseradish are known to cause false-positive results in a Guaiac Test, which is used to detect blood in the stool. Avoiding these foods is crucial to ensure accurate test results. Choice B is incorrect because iron preparations can interfere with the test results. Choice C is incorrect as red meat does not impact the Guaiac Test significantly. Choice D is incorrect as caffeine and dark-colored foods are not relevant to the preparation for a Guaiac Test.
2. What is the primary focus of a performance appraisal for nursing staff?
- A. To identify areas for salary increases
- B. To evaluate overall job performance
- C. To provide feedback on clinical skills
- D. To determine eligibility for promotions
Correct answer: C
Rationale: The primary focus of a performance appraisal for nursing staff is to provide feedback on clinical skills, identify areas for improvement, and support professional development. While salary increases, overall job performance evaluation, and promotions may be factors considered during a performance appraisal, the primary goal is to assess and enhance clinical skills to ensure high-quality patient care.
3. A nurse is preparing to perform an abdominal assessment on a client. Which action should the nurse take first?
- A. Percuss the abdomen
- B. Inspect the abdomen
- C. Auscultate before palpation
- D. Palpate the abdomen
Correct answer: C
Rationale: The correct answer is to auscultate before palpation. This ensures that bowel sounds are not altered by physical manipulation. Inspecting the abdomen is a valid step but not the first. Percussing and palpating should come after auscultation to prevent altering bowel sounds or causing discomfort to the client.
4. What intervention is contraindicated in a suspected case of appendicitis?
- A. Enemas
- B. Palpating the abdomen
- C. Administration of antibiotics
- D. Administration of antipyretics for fever
Correct answer: A
Rationale: Enemas are contraindicated in cases of suspected appendicitis because they can increase the risk of perforation. The pressure from the enema can exacerbate inflammation and potentially lead to the rupture of the appendix. Palpating the abdomen gently is essential for diagnosing appendicitis, as it helps identify the characteristic signs like rebound tenderness. Antibiotics are commonly used to treat the infection associated with appendicitis, and antipyretics are administered to manage fever, which is a common symptom of the condition. Therefore, enemas are the intervention to avoid in suspected appendicitis cases.
5. The client with a new colostomy is concerned about the odor from the stool in the ostomy drainage bag. The nurse teaches the client to include which of the following foods in the diet to reduce odor?
- A. Yogurt
- B. Broccoli
- C. Cucumbers
- D. Eggs
Correct answer: A
Rationale: Yogurt helps reduce odor in the stool by promoting healthy bacteria in the digestive tract.