ATI RN
ATI Nurs 100 Fundamental Final Exam Questions
Extract:
Question 1 of 5
A nurse is in a client’s room when the client begins having a tonic-clonic seizure. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Turn the client's head to the side. This action is crucial to prevent aspiration and maintain a clear airway during a seizure. By turning the client's head to the side, the nurse helps ensure that any fluids or vomit produced during the seizure will not obstruct the client's airway. This immediate intervention takes priority over other actions such as checking motor strength, documenting the time of the seizure, or loosening clothing. Checking motor strength and documenting the time can be done after ensuring the client's safety during the seizure. Loosening clothing is important, but maintaining a clear airway is the priority during a seizure.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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