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ATI Fundamentals Exam East Wick College Questions

Extract:


Question 1 of 5

A nurse is collecting data from a client who sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Correct Answer: B

Rationale: A thready pulse indicates hypovolemia due to decreased blood volume.

Question 2 of 5

A nurse is collecting data from a client who has a sodium level of 155 mEq/L. Which of the following manifestations should the nurse expect?

Correct Answer: D

Rationale: Hypernatremia causes decreased level of consciousness due to cellular dehydration, especially in the brain.

Question 3 of 5

A nurse is preparing to administer penicillin IM to an adult client. Which of the following angles should the nurse use for injection into the client's ventrogluteal muscle?

Correct Answer: C

Rationale: A 90° angle ensures intramuscular delivery into the ventrogluteal muscle.

Question 4 of 5

A nurse is preparing to administer ceftriaxone 3 mL intramuscularly to an adult client. Which of the following actions should the nurse plan to take?

Correct Answer: C

Rationale: The ventrogluteal site is ideal for a 3 mL IM injection, being safe and able to accommodate larger volumes.

Question 5 of 5

A nurse is administering a tap-water enema to a client. The client reports cramping as the nurse instills the irrigating solution. Which of the following actions should the nurse take to relieve the client's discomfort?

Correct Answer: D

Rationale: Lowering the solution container reduces flow rate, alleviating cramping.

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