Questions 54

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ATI Fundamentals 2023 Retake Questions

Extract:


Question 1 of 5

A nurse enters the room of a client who has a seizure disorder. The client is sitting in a chair and begins to experience a seizure. Which of the following actions should the nurse take first?

Correct Answer: B

Rationale: Helping the client to the floor (
B) prevents fall injury, the first priority. Moving items (
A), turning (
C), and loosening (
D) follow once safe.

Question 2 of 5

A nurse is teaching a client who has decreased mobility about passive range-of-motion exercises. Which of the following statements should the nurse make?

Correct Answer: C

Rationale: Repeating 3-5 times (
C) enhances mobility safely. Quick moves (
A) risk injury, once daily (
B) is insufficient, and pain (
D) is avoided.

Question 3 of 5

A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

Correct Answer: A,D,E

Rationale: Comparing at removal (
A), preparation (
D), and administration (E) ensures accuracy per rights of medication. Shift end (
B) and counts (
C) aren’t administration checks.

Question 4 of 5

A nurse is caring for a postoperative client who has an IV PCA delivering opioids. The client rates their pain as 2 on a scale of 0 to 10 and has not pressed the button to deliver a bolus dose in over 2 hr. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Decreasing the continuous rate (
B) adjusts for low pain (2/10) and no bolus use, preventing over-medication. Pain relief is adequate (
A), frequent pushing (
C) is unnecessary, and caregiver control (
D) risks overdose.

Question 5 of 5

A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: Securing with a hook-and-loop collar (
D) ensures stability safely. Clean gloves (
A) risk infection (sterile needed), hydrogen peroxide (
B) irritates, and cutting gauze (
C) risks fiber inhalation.

Similar Questions

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A nurse in an emergency department is caring for a client who is unconscious and requires surgery. There is no one available to give consent for the treatment. Which of the following actions should the nurse take?
A nurse is preparing to set up a sterile field. Which of the following actions should the nurse take?
A nurse in a mental health clinic is caring for an older adult client who has depression and has stopped taking their medication. The client tells the nurse, 'I want to die now that my partner is gone.' Which of the following responses should the nurse make?
A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

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