ATI Fundamentals 2 Quiz with answers 100% solved 2023
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Course
ATI Fundamentals 2
Institution
ATI Fundamentals 2
ATI Fundamentals 2 Quiz with answers 100% solved 2023 nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction?
Inability of the toddle to cry or ...
ATI Fundamentals 2 Quiz with answers 100% solved 2023
A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? - correct answer Inability of the toddle to cry or speak.
bc no sounds passing through vocal cords use heimliech maneuver
A nurse is planning care for a client who has a prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen? - correct answer Collect the specimen upon arising in the morning.
in the morning it's easier to cough up secretions deepest specimens are usually collected in morning
try to collect before breakfast prior to coughing into container: rinse mouth and deep breathe
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. Which of the following actions should the nurse take first?
- correct answer Start chest compressions.
give priority to the factor or situation posing the greatest safety risk.
A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. Which of the following information should the nurse include in the teaching? - correct answer Hold breath for 5 seconds after goal volume is reached.
Rationale: decreases collapse of alveoli, which helps prevent risk of atelectasis and pneumonia
nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the following actions should the nurse take? - correct answer Pinch the NG tube while removing the tube.
decreases risk of aspiration of any GI contents
A nurse is providing teaching to a client who has a new colostomy about proper care. Which of the following information should the nurse include in the teaching. - correct answer Cleanse the skin around the stoma with warm water. using soap can leave a residue and cause poor adherence of pouch
A nurse is performing a straight urinary catheterization for a female client who has urinary retention. Which of the following actions indicates the nurse is maintaining sterile
technique? - correct answer Wipes the labia minor in an anteroposterior direction. The nurse should wipe anteroposterior both the right & left labia minora w/ sperate cotton swabs to destroy any microorganisms in the area that would contaminate.
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the following actions should the nurse take?
. - correct answer Elevate the client's head of bed 45 degrees before the feeding. Rationale: the nurse should do this to prevent aspiration
nurse is collecting a urine specimen for a culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take? - correct answer Clamp the tubing below the collection port. Rationale: The nurse should clamp the tubing below the collection port to allow fresh uncontaminated urine to collect before withdrawing the specimen through the port and placing it in a sterile specimen cup.
A nurse is caring for a client who postoperative and who has an indwelling urinary catheter to gravity drainage. The nurse notes no urine output in the past 2 hr. Which of the following actions should the nurse take first? - correct answer Check to determine if the catheter tubing is kinked.
first apply least invasive framework
A nurse is caring for a client who has a mastectomy and has a self-suction drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device. - correct answer Collapse the device of air after emptying. Rationale: The nurse should collapse the device of air after emptying the contents periodically to create enough suction to pull fluid exudate into the collection area of the device.
A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of the following sites should the nurse select for the injection.
. - correct answer the side hip between the iliac crest and anterior iliac spine
Forms the boundaries for
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