ATI RN
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ATI Fundamental Exams Questions
Extract:
Question
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1 of 5
A home health nurse is teaching about endotracheal suctioning. Which of the following information should the nurse include in the teaching?
Correct Answer: A,C
Rationale: Resting 10-15 seconds between suctioning prevents hypoxemia and airway trauma. Suctioning less than 10 seconds minimizes hypoxemia and mucosal damage. Suction pressure should be 80-120 mm Hg, individualized. Suction during insertion increases trauma risk.
Question 2 of 5
A nurse is educating a client who is experiencing sleep disturbances and desires to decrease caffeine intake. Which of the following beverages should the nurse recommend?
Correct Answer: D
Rationale: Lemon-lime soda typically does not contain caffeine, making it suitable for reducing caffeine intake to improve sleep. Chocolate milk, diet cola, and brewed iced tea contain caffeine, which can exacerbate sleep disturbances.
Question 3 of 5
The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?
Correct Answer: B
Rationale: Using a dedicated blood pressure cuff prevents cross-contamination between patients, a key measure for contact precautions. Negative airflow is for airborne precautions, and PPE is standard but less specific to equipment. Safe transport is important but not primary.
Question 4 of 5
A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply)
Correct Answer: B,D,E
Rationale: Checking vital signs, transfusing within 4 hours (not 5), and verifying expiration with another nurse ensure safety. Dextrose causes hemolysis, and a 13-gauge needle is too large; 18-20 gauge is appropriate.
Question 5 of 5
A client tells the nurse that he suspects that he grinds his teeth at night. The nurse should explain that the client should see a dentist for this problem, which she should document as which of the following disorders?
Correct Answer: C
Rationale: Bruxism is the condition of grinding or clenching teeth, often during sleep, which can cause dental issues and jaw pain. Halitosis is bad breath, sordes is oral crust buildup, and xerostomia is dry mouth, none of which directly relate to teeth grinding.