Questions 60

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ATI RN Fundamentals 2023 II Questions

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Question 1 of 5

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.)

Correct Answer: A,B,D,E

Rationale: Stopping transfusion (
D), oxygen (
B), high-Fowler’s (E), and diuretic (
A) address TACO. Epinephrine (
C) is for anaphylaxis, not overload.

Question 2 of 5

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

Correct Answer: D

Rationale: Asking family to assist (
D) supports grieving. Dentures stay (
A), soft lights (
B), and closed eyes (
C) are standard.

Question 3 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: D

Rationale: Helping to the floor (
D) prevents falls, the first priority. Loosening (
A), turning (
B), and moving items (
C) follow.

Question 4 of 5

A nurse is providing care for a client who is to undergo a total laryngectomy. Which of the following interventions is the nurse's priority?

Correct Answer: C

Rationale: Reviewing artificial larynx (
C) prepares for post-op communication, a priority. Support (
A), reading (
B), and esophageal speech (
D) are secondary.

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: B

Rationale: Hook-and-loop collar (
B) ensures stability safely. Gauze (
A) risks infection, clean gloves (
C) aren’t sterile, and hydrogen peroxide (
D) irritates.

Similar Questions

A nurse in a provider's office is caring for a client. The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)
A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?
A nurse is caring for a client. Which of the following findings from the client’s history places the client at risk for heart disease? (Select all that apply.)
To ensure client safety, a nurse manager is planning to observe a newly licensed nurse perform a straight catheterization on a client. In which of the following roles is the nurse manager functioning?
A nurse is planning care for a client who has a new prescription for parenteral nutrition (PN) in 20% dextrose and fat emulsions. Which of the following is an appropriate action to include in the plan of care?

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