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ATI Fundamentals Exam East Wick College Questions

Extract:


Question 1 of 5

A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?

Correct Answer: A

Rationale: Chvostek’s sign indicates hypocalcemia due to facial muscle spasms from nerve hyperexcitability.

Question 2 of 5

A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A potassium level of 5.8 mEq/L indicates hyperkalemia, requiring provider notification before administration.

Question 3 of 5

A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: The ventrogluteal site is ideal for a 3 mL IM injection, being safe and able to accommodate larger volumes.

Question 4 of 5

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

Correct Answer: B

Rationale: Assessing fluid balance determines the extent of dehydration, guiding rehydration therapy.

Question 5 of 5

A client receiving a cleansing enema reports mild cramping. After a few minutes, he asks the nurse to stop the enema and allow him to go to the bathroom. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Lowering the solution bag reduces flow rate, easing cramping.

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