Questions 50

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ATI Fundamentals Exam East Wick College Questions

Extract:


Question 1 of 5

A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Increasing fluid and fiber softens stool and promotes bowel movements, directly addressing constipation.

Question 2 of 5

A nurse is preparing to administer vitamin K IM to a newborn. Into which of the following muscles should the nurse inject the medication?

Correct Answer: A

Rationale: The vastus lateralis is the preferred site for IM injections in newborns due to its development.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new colostomy. Which of the following information should the nurse include in the teaching?

Correct Answer: B

Rationale: A small amount of bleeding around the stoma is normal post-surgery. Fecal output takes 2-4 days, purplish stoma indicates poor perfusion, and raw vegetables may cause issues.

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 nurse is reviewing the laboratory results of a client who is taking a loop diuretic and notes the client's potassium level is 3.0 mEq/L. Which of the following physiological responses should the nurse expect related to the client's hypokalemia?

Correct Answer: C

Rationale: Hypokalemia can cause cardiac dysrhythmias due to altered cardiac muscle excitability.

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