Questions 60

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ATI RN Fundamentals 2023 II Questions

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Question 1 of 5

A nurse is caring for a client who has dysphagia. When assisting the client during breakfast, which of the following actions by the client indicates the nurse should intervene?

Correct Answer: D

Rationale: Straw use (
D) risks aspiration in dysphagia. Breaks (
A), upright position (
B), and chin tuck (
C) are safe.

Question 2 of 5

A charge nurse is observing a staff nurse performing a wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Correct Answer: D

Rationale: Analgesic 30-60 min prior (D, adjusted timing) reduces pain. Syringe alone (not catheter,
A), room-temp solution (not cold,
B), and new gloves (not one pair,
C) are correct.

Question 3 of 5

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Outward eyelashes (
A) are normal. Opaque corneas (
B), large pupils (
C), and excessive blinking (
D) indicate issues.

Question 4 of 5

A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include?

Correct Answer: B

Rationale: Weight (
B) is key for anthropometric assessment. Respiratory rate (
A), orientation (
C), and pain (
D) are unrelated.

Question 5 of 5

A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: D

Rationale: Hourly exercises (
D) improve circulation. Breath-holding (
A) risks pressure, 4 hr (
B) is too infrequent, removing stockings (
C) risks clots.

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