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ATI RN · ATI Fundamentals · Introduction to Nursing

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A postoperative patient has not voided for 8 hours after return to the clinical unit. Which action should the nurse take first?

A. Perform a bladder scan.

B. Insert a straight catheter.

C. Encourage increased oral fluid intake.

D. Assist the patient to ambulate to the bathroom.

Correct Answer: Perform a bladder scan.

Question 2 of 5

Which nursing diagnosis would comply with guidelines set forth by NANDA?

A. Ineffective airway clearance related to bronchial asthma

B. Anxiety related to visits by overbearing mother and grandmother

C. Noncompliance taking medications related to belligerent behavior

D. Risk for injury related to generalized weakness

Correct Answer: Risk for injury related to generalized weakness

Question 3 of 5

When preparing for a subcutaneous injection, the proper size of syringe and needle would be:

A. Syringe 3-5ml and needle gauge 21 to 23

B. Tuberculin syringe 1 ml with needle gauge 26 or 27

C. Syringe 2ml and needle gauge 22

D. Syringe 1-3ml and needle gauge 25 to 27

Correct Answer: Syringe 1-3ml and needle gauge 25 to 27

Question 4 of 5

What type of logical reasoning is the nurse using when he/she/they starts with the big picture and anticipates specific findings?

A. Inductive

B. Deductive

C. Careful reasoning

D. Critical reasoning

Correct Answer: Deductive

Question 5 of 5

A client's wound is draining thick yellow material. The nurse correctly describes the drainage as:

A. Sanguineous

B. Serous-sanguineous

C. Serous

D. Purulent

Correct Answer: Purulent

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