Questions 54

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ATI Fundamentals Quiz Questions

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Question 1 of 5

A nurse is caring for a client who has COPD. The nurse should identify the client is at risk for which of the following acid-base imbalances?

Correct Answer: D

Rationale: COPD causes CO2 retention, leading to respiratory acidosis.

Question 2 of 5

When assessing the abdomen,which assessment technique is used last?

Correct Answer: C

Rationale: Percussion: Percussion is typically performed before palpation. It helps to detect differences in density of abdominal contents, fluid presence, and gas patterns. Auscultation: Auscultation is performed before any palpation or percussion to prevent altering bowel sounds. It is typically the second step after inspection. Palpation: Palpation is used last during an abdominal assessment to prevent altering the characteristics of bowel sounds and to ensure that any tenderness or abnormal masses are identified after a thorough initial assessment. Palpation can cause changes in bowel sounds and tenderness. Inspection: Inspection is always the first step in any physical examination. It allows for a visual assessment of the abdomen, looking for distension, asymmetry, and skin changes.

Question 3 of 5

A nurse is teaching a newly licensed nurse about a nonrebreather oxygen mask. Which of the following instructions should the nurse include?

Correct Answer: D

Rationale: A snug fit ensures effective delivery of high-concentration oxygen with a nonrebreather mask.

Question 4 of 5

A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

Correct Answer: B,C,E

Rationale: Construction work (occupation), furosemide, and naproxen are associated with hearing impairment due to noise exposure and ototoxicity, respectively.

Question 5 of 5

A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

Correct Answer: D

Rationale: Set client-centered, measurable and realistic goals: This occurs during the planning stage, after data collection and analysis. Critically analyze client data to determine priorities: This step happens after data collection during the diagnosis phase. Determine effectiveness of interventions: This is part of the evaluation stage, which comes after planning and implementation. Collect and organize client data: This is the first step in the nursing process, where the nurse gathers comprehensive information about the client's physical, psychological, sociocultural, developmental, and spiritual needs.

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