ATI RN Fundamentals Predictor Exam Form B | Questions and
Answers | Latest 2021
1.) A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan of
care?
● Empty the collection pouch when it is 2/3 full
● expect urine outflow into pouch to begin one to two days after surgery
● change the collection pouch in the early morning
● place an aspirin in the collection pouch to control odor
Rationale: The nurse should plan to change the urinary collection pouch in the early morning when
urine output is reduced.
2.) A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank
pain. Which of the following is the priority nursing action?
● Relieve the clients pain
● Encourage the client to increase fluid intake
● Monitor the clients intake and outputs
● Strain the clients urine
Rationale: Using the urgent versus non-urgent priority-setting framework, the nurse should consider
urgent needs to be the priority because they pose a greater threat to the client. The nurse might
also need to use Maslow’s hierarchy of needs, the ABC priority-setting framework, and/or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal calculi is
severe and can lead to shock; therefore, this is the priority action.
3.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The
amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan
to administer per dose? (Fill in the blank with the numeric value only, round the answer to
the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Correct answer 10
4.) A nurse is caring for a client who has femoral thrombophlebitis and a prescription for
enoxaparin. Which of the following actions should the nurse take?
● Elevate the affected leg
● Place the client on bed rest
● Massage the affected leg
● Administer aspirin for discomfort
Rationale: The nurse should elevate the client's affected leg when the client is in bed to reduce
inflammation.
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
, 5.) A nurse is teaching a client who had an amputation of the left lower leg 3 days ago. Which of
the following statements indicates that the client understands how to care for the incision
and his left upper leg?
● I should use powder inside my limb sock to keep it cool
● I will lie on my stomach for 30 min a few times a day
● I should expect some drainage with a strong odor because I had gangrene
● I will keep elevating my leg on 2 pillows to keep the swelling down
Rationale: The client should lie prone 3 or 4 times per day for 20 to 30 minutes. This position will
help reduce the risk of developing hip flexion contractures.
6.) During a neurological assessment, a nurse asks how the client arrived at the appointment
and with whom. Which of the following types of memory is the nurse testing?
● Remote
● Immediate
● Recall
● Past
Rationale: To test recall or recent memory, the nurse should ask the client to provide details about
how he arrived at the appointment and with whom. The nurse could also ask the client to name any
health care providers he saw in the past few days.
7.) A nurse is preparing a client for a bronchoscopy. Which of the following actions should the
nurse take? (Select all that apply.)
● Explained that the client will receive sedation and will not remember the procedure
● verify that the client understands the purpose and nature of the procedure
● offer the client sips of clear liquids until one hour before the test
● obtain a pre procedural sputum specimen
● instruct the client to keep his neck in a neutral position
Rationale: For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an
opioid to ensure sedation and amnesia. The client will have signed a consent form, so the nurse
should verify that the provider explained the procedure and that the client understands it.
8.) A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of
the following interventions should the nurse include in the client's plan of care?
● Keep the client's leg flat with the knees extended
● encourage the client to sit up in a chair for as long as possible
● log roll the client in bed for care procedures
● expect urinary retention for the first postoperative day
Rationale: The client should receive instructions about logrolling preoperatively. The nurse may
need to engage other staff members in assisting with logrolling to maintain proper alignment of the
client's spine at all times postoperatively.
9.) A nurse is assessing a client who is 24 hr postoperative following an above-theelbow
amputation. Which of the following findings should the nurse identify as the priority?
● Client reports of muscle spasms
● inability to get dressed without assistance
● client reports of feelings of anger
● refusal to look at the affected limb
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
Answers | Latest 2021
1.) A nurse is caring for a client who is postoperative following a urinary diversion to treat
bladder cancer. Which of the following interventions should the nurse include in the plan of
care?
● Empty the collection pouch when it is 2/3 full
● expect urine outflow into pouch to begin one to two days after surgery
● change the collection pouch in the early morning
● place an aspirin in the collection pouch to control odor
Rationale: The nurse should plan to change the urinary collection pouch in the early morning when
urine output is reduced.
2.) A nurse is caring for a client who has a diagnosis of renal calculi and reports severe flank
pain. Which of the following is the priority nursing action?
● Relieve the clients pain
● Encourage the client to increase fluid intake
● Monitor the clients intake and outputs
● Strain the clients urine
Rationale: Using the urgent versus non-urgent priority-setting framework, the nurse should consider
urgent needs to be the priority because they pose a greater threat to the client. The nurse might
also need to use Maslow’s hierarchy of needs, the ABC priority-setting framework, and/or nursing
knowledge to identify which finding is the most urgent. The pain associated with renal calculi is
severe and can lead to shock; therefore, this is the priority action.
3.) A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN to a client for pain. The
amount available is codeine oral solution 15 mg/5 mL. How many mL should the nurse plan
to administer per dose? (Fill in the blank with the numeric value only, round the answer to
the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Correct answer 10
4.) A nurse is caring for a client who has femoral thrombophlebitis and a prescription for
enoxaparin. Which of the following actions should the nurse take?
● Elevate the affected leg
● Place the client on bed rest
● Massage the affected leg
● Administer aspirin for discomfort
Rationale: The nurse should elevate the client's affected leg when the client is in bed to reduce
inflammation.
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
, 5.) A nurse is teaching a client who had an amputation of the left lower leg 3 days ago. Which of
the following statements indicates that the client understands how to care for the incision
and his left upper leg?
● I should use powder inside my limb sock to keep it cool
● I will lie on my stomach for 30 min a few times a day
● I should expect some drainage with a strong odor because I had gangrene
● I will keep elevating my leg on 2 pillows to keep the swelling down
Rationale: The client should lie prone 3 or 4 times per day for 20 to 30 minutes. This position will
help reduce the risk of developing hip flexion contractures.
6.) During a neurological assessment, a nurse asks how the client arrived at the appointment
and with whom. Which of the following types of memory is the nurse testing?
● Remote
● Immediate
● Recall
● Past
Rationale: To test recall or recent memory, the nurse should ask the client to provide details about
how he arrived at the appointment and with whom. The nurse could also ask the client to name any
health care providers he saw in the past few days.
7.) A nurse is preparing a client for a bronchoscopy. Which of the following actions should the
nurse take? (Select all that apply.)
● Explained that the client will receive sedation and will not remember the procedure
● verify that the client understands the purpose and nature of the procedure
● offer the client sips of clear liquids until one hour before the test
● obtain a pre procedural sputum specimen
● instruct the client to keep his neck in a neutral position
Rationale: For a bronchoscopy, clients typically receive premedication with a benzodiazepine or an
opioid to ensure sedation and amnesia. The client will have signed a consent form, so the nurse
should verify that the provider explained the procedure and that the client understands it.
8.) A nurse is caring for a client who is postoperative following a lumbar disk excision. Which of
the following interventions should the nurse include in the client's plan of care?
● Keep the client's leg flat with the knees extended
● encourage the client to sit up in a chair for as long as possible
● log roll the client in bed for care procedures
● expect urinary retention for the first postoperative day
Rationale: The client should receive instructions about logrolling preoperatively. The nurse may
need to engage other staff members in assisting with logrolling to maintain proper alignment of the
client's spine at all times postoperatively.
9.) A nurse is assessing a client who is 24 hr postoperative following an above-theelbow
amputation. Which of the following findings should the nurse identify as the priority?
● Client reports of muscle spasms
● inability to get dressed without assistance
● client reports of feelings of anger
● refusal to look at the affected limb
This study source was downloaded by 100000819951441 from CourseHero.com on 05-16-2021 04:07:49 GMT -05:00
https://www.coursehero.com/file/81093372/A-nurse-is-caring-for-a-client-who-is-postoperative-following-a-urinary-diversion-to-treat-bladder-c/
