Questions 67

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RN ATI Fundamentals of Nursing Questions

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Question 1 of 5

A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer: C

Rationale: The posterior tibial pulse is located in the lower third of the tibia just behind the medial malleolus on the inner ankle making it the correct site for palpation.
Choice A is associated with the femoral pulse
Choice B is not a pulse site and
Choice D corresponds to the dorsalis pedis pulse. Selectable areas outlined in artwork

Question 2 of 5

A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

Correct Answer: D

Rationale: TPN stoppage can cause hypoglycemia leading to shakiness and diaphoresis (
D). Other choices are unrelated to TPN interruption.

Question 3 of 5

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take?

Correct Answer: A,D,E

Rationale: Keeping the bed low (
A) teaching call light use (
D) and using a fall-risk band (E) reduce fall risk.
Choice B is insufficiently frequent and
Choice C increases risk.

Question 4 of 5

A nurse is planning care for a client who requires airborne precautions. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: An N95 respirator mask is essential for airborne precautions to protect against inhaling infectious particles like tuberculosis.

Choices A B and C are insufficient or incorrect.

Question 5 of 5

A nurse is caring for four clients who have drainage tubes. Which of the following clients should the nurse recognize as being at risk for hypokalemia?

Correct Answer: D

Rationale: NG tube suction (
D) can lead to loss of potassium-rich gastric contents causing hypokalemia.

Choices A B and C do not typically cause significant potassium loss.

Similar Questions

A home health nurse is conducting a home safety assessment for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client?
A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence,which of the following interventions should the nurse initiate?
A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the nurse examine to identify cyanosis in this client?

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