Complete Question Bank

ATI RN · Nursing Process · ADPIE Nursing Process Questions

Full Question & Rationale Repository

Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A patient is unable to control his bowels ff. a subarachnoid hemorrhage. Which intervention by the nurse can help reduce episodes of bowel incontinence?

A. Ask the patient frequently if he has to have a bowel movement

B. Place incontinence pads on the patient's bed and chair

C. Toilet the patient according to his pre-illness schedule, whether or not he feels the urge

D. Take care not to embarrass the patient when incontinent episode occur

Expert Explanatory Rationale

Correct Answer: Toilet the patient according to his pre-illness schedule, whether or not he feels the urge

Question 2 of 5

The nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should:

A. Use commercial preparations to remove

B. Wash and inspect the feet daily

C. Walk barefoot at least once each daily

D. Cut the toenails by rounding edges

Expert Explanatory Rationale

Correct Answer: Wash and inspect the feet daily

Question 3 of 5

A client who is scheduled for a parathyroidectomy is worried about having to wear a scarf around his neck after surgery. What nursing diagnosis should the nurse document in the care plan?

A. Risk for impaired physical mobility due to surgery

B. Ineffective denial related to poor coping mechanisms

C. Disturbed body image related to the incision scar

D. Risk of injury related to surgical outcomes

Expert Explanatory Rationale

Correct Answer: Disturbed body image related to the incision scar

Question 4 of 5

The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). To adhere to standard precautions, the nurse should:

A. Maintain strict isolation

B. Wear gloves when providing mouth care

C. Keep the client in a private room, if

D. Wear a gown when delivering the client's possible food tray

Expert Explanatory Rationale

Correct Answer: Wear gloves when providing mouth care

Question 5 of 5

Clients with myastherda gravis, Guillain - Barre Syndrome or amyothrophic sclerosis experience:

A. Progressive deterioration until death

B. Deficiencies of essential neurotransmitter

C. Increased risk of respiratory complications

D. Involuntary twitching of small muscle group

Expert Explanatory Rationale

Correct Answer: Increased risk of respiratory complications