Practice Question
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first?
Answer Choices:
Correct Answer:
Auscultate bowel sounds.
Rationale:
🟡Clients with right lower quadrant pain, nausea, and vomiting may have appendicitis or other acute abdominal conditions.
🟡The first step in assessment is to auscultate bowel sounds before palpating, as palpation may cause rupture or worsen pain.
🟡Early auscultation helps detect obstruction, ileus, or peritonitis signs.
🟡This is a priority assessment because it provides baseline information for surgical decision-making.
🟡Delaying this step may compromise safe and accurate diagnosis of abdominal emergencies.
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This question is from RN Fundamentals 2025 EXAM 7 which contains 69 questions.
More Questions from This Exam
A nurse is caring for a female client who is postoperative and is having difficulty urinating after the removal of an indwelling urinary catheter. Which of the following techniques should the nurse teach the client to use to promote urination?
Answer Choices:
A. Performing Kegel exercises prior to urination
B. Stroking the lower abdomen
C. Pouring warm water over the perineum
D. Leaning backward when sitting and attempting to urinate
A nurse is admitting a client who has been diagnosed with stage 4 cancer and is scheduled for surgery. Which of the following actions should the nurse take?
Answer Choices:
A. Inform the client they cannot refuse the surgery once the consent form has been signed.
B. Ask the client if they wish to be resuscitated in the event they stop breathing.
C. Ensure the client has advance directives on file.
D. Explain the risks of the surgery to the client.
A nurse is planning to provide discharge teaching to a client who speaks a different language than the nurse. Which of the following actions should the nurse take?
Answer Choices:
A. Direct comments and questions to the interpreter.
B. Speak to the client and a loud voice.
C. The Consider gender and age when selecting an interpreter.
D. Ask a member of the client's family to serve as an interpreter.
A community health nurse is developing a brochure about obstructive sleep apnea (OSA). Which of the following potential complications of OSA should the nurse include?
Answer Choices:
A. Enlarged adenoids
B. Diabetes mellitus
C. Heart failure
D. Nasal polyps
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 4