ATI Fundamentals 2 questions with 100% correct answers
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Course
ATI Fundamentals
Institution
ATI Fundamentals
1.A nurse is planning care for a client who has a wound infection following abdominal surgery. To
promote healing and fight infection, which of the following vitamins and minerals should the
nurse plan to increase in the client's diet?
Vitamin C and zinc
Purulent exudate
Weigh the client on ar...
Term 1 of 40
A nurse is planning care for a client who has a wound infection following abdominal surgery. To
promote healing and fight infection, which of the following vitamins and minerals should the
nurse plan to increase in the client's diet?
Vitamin C and zinc
Purulent exudate
Weigh the client on arising.
Collect the specimen upon arising in the morning.
Term 2 of 40
A nurse is collecting a urine specimen for 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?
Check to determine if the catheter tubing is kinked.
Inability of the toddler to cry or speak
A halo of erythema on the surrounding skin
Clamp the tubing below the collection port.
Term 3 of 40
A nurse is caring for a client who has major fecal incontinence and reports irritation in the
perianal area. Which of the following actions should the nurse take first?
Weigh the client on arising.
Offer the client tart or sour foods first.
Check the client's perineum.
Face the client when speaking.
,Term 4 of 40
A nurse is administering a cleansing enema to a client who is scheduled for a diagnostic
procedure. Which of the following actions should the nurse take?
Elevate the client's head of bed 45° before the feeding.
Offer the client tart or sour foods first.
Insert the tip of the tubing 8 cm (3.1 in).
Face the client when speaking.
Term 5 of 40
A nurse is planning to administer pain medication to a client who has pain following abdominal
surgery. Which of the following actions should the nurse take first?
Renew the prescription for the use of restrains within 24 hr.
Weigh the client on arising.
Place the stool specimen collection container in a biohazard bag.
Use the pain scale to determine the client's pain level.
Term 6 of 40
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of
the following actions should the nurse take?
Pull suction catheter back 1 cm (0.5 in) if the client starts coughing.
Wipes the labia minora in an anteroposterior direction
Elevate the client's head of bed 45° before the feeding.
Exert pressure on the bony prominences when holding the eyelids open.
,Term 7 of 40
A nurse is changing the dressings for a client who is 3 days postoperative following a
cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should
document this finding as which of the following types of drainage?
Purulent exudate
Montgomery straps
Start chest compressions.
Collect the specimen upon arising in the morning.
Term 8 of 40
A nurse is caring for a client who had 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?
Check to determine if the catheter tubing is kinked.
Offer the client tart or sour foods first.
Collapse the device of air after emptying.
Inability of the toddler to cry or speak
Term 9 of 40
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?
Check to determine if the catheter tubing is kinked.
Inability of the toddler to cry or speak
Collapse the device of air after emptying.
Offer the client tart or sour foods first.
, Term 10 of 40
A nurse is planning care for a client who is confused and requires a prescription for wrist
restraints. Which of the following interventions should the nurse include in the plan of care?
Use the pain scale to determine the client's pain level.
Place the stool specimen collection container in a biohazard bag.
Collect the specimen upon arising in the morning.
Renew the prescription for the use of restrains within 24 hr.
Term 11 of 40
A nurse is preparing to assist with ambulation of an older adult client who was on bed rest for
3 days. Which of the following actions should the nurse take to decrease the risk of a fall?
Explain the procedure to the client.
Drop the eye medication into the lower conjunctival sac.
Use a gait belt during ambulation.
Lower abdomen
Term 12 of 40
A nurse is performing suctioning for a client who has a tracheostomy. Which of the following
actions should the nurse take?
Elevate the client's head of bed 45° before the feeding.
Use the pain scale to determine the client's pain level.
Pull suction catheter back 1 cm (0.5 in) if the client starts coughing.
Exert pressure on the bony prominences when holding the eyelids open.
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