Questions 85

ATI RN

ATI RN Test Bank

ATI Fundamental Exams Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, 'I can feel the congestion in my lungs, and I certainly cough a lot, but I can’t seem to bring anything up.' Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?

Correct Answer: C

Rationale: Increased fluid intake thins bronchial secretions, aiding expectoration in COPD. Low-salt diets, oxygen, and semi-Fowler’s position don’t directly address secretion viscosity.

Question 2 of 5

The nurse is caring for a patient on contact precautions. Which action will be most appropriate to prevent the spread of disease?

Correct Answer: B

Rationale: Using a dedicated blood pressure cuff prevents cross-contamination between patients, a key measure for contact precautions. Negative airflow is for airborne precautions, and PPE is standard but less specific to equipment. Safe transport is important but not primary.

Question 3 of 5

A nurse is assessing a client who has a sodium level of 116 mEq/L. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: Hyponatremia (sodium <135 mEq/L) causes cellular swelling, leading to neurological symptoms like nausea and vomiting. Flushed skin and thirst are associated with hypernatremia, and fever is unrelated to hyponatremia.

Question 4 of 5

A nurse is inserting an NG tube for a client. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Measuring the NG tube length ensures correct placement. Coughing increases gagging risk, clean gloves are sufficient, and high Fowler’s position is preferred, not left lateral.

Question 5 of 5

A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?

Correct Answer: A

Rationale: Gloves are the most contaminated PPE and should be removed first to prevent contamination of other PPE or hands. Mask, gown, and goggles follow in that order.

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