ATI RN
ATI Nsg 131 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is attending a social event when another guest coughs weakly once, grasps his throat with his hands, and cannot talk. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The Heimlich maneuver is needed to clear an airway obstruction indicated by grasping the throat and inability to talk.
Question 2 of 5
A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying petroleum jelly prevents lip dryness, crucial for immobile clients.
Question 3 of 5
A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?
Correct Answer: C
Rationale: Elevating the bed 30° to 45° reduces aspiration risk, a priority for unconscious clients.
Question 4 of 5
A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to include in the client's plan of care?
Correct Answer: B
Rationale: Auscultating breath sounds every 2 hours monitors for respiratory compromise, a priority in immobile clients.
Question 5 of 5
A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the following actions should the nurse take regarding informed consent?
Correct Answer: C
Rationale: The nurse witnesses the client's signature to confirm voluntary consent after the provider's explanation.