Questions 85

ATI RN

ATI RN Test Bank

ATI Fundamental Exams Questions

Extract:


Question 1 of 5

A nurse is planning care for a client who has a decreased level of consciousness. The client is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. Which of the following is the priority action by the nurse?

Correct Answer: C

Rationale: Elevating the head of the bed 30° to 45° is the priority to prevent aspiration by promoting drainage of stomach contents away from the airway, critical for a client with decreased consciousness. Other actions are important but secondary.

Question 2 of 5

A nurse is caring for a group of clients. Which of the following clients is eligible for hospice care? (Select All that Apply)

Correct Answer: A,C,E

Rationale: Clients with stage IV breast cancer (3-month prognosis), end-stage kidney disease post-dialysis, and terminal lung cancer discontinuing treatment are eligible for hospice due to life expectancy of six months or less. COPD and diabetes clients don’t automatically qualify without a terminal prognosis.

Question 3 of 5

A nurse is monitoring a client who received epinephrine for angioedema after a first dose of losartan. Which of the following data indicates a therapeutic response to the epinephrine?

Correct Answer: B

Rationale: Unlabored respirations indicate epinephrine has reduced airway swelling from angioedema, ensuring airway patency. Peripheral edema, groin pain, and blood pressure are not primary indicators of epinephrine’s effect on angioedema.

Question 4 of 5

A nurse has completed care procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment (PPE) should the nurse remove first?

Correct Answer: A

Rationale: Gloves are the most contaminated PPE and should be removed first to prevent contamination of other PPE or hands. Mask, gown, and goggles follow in that order.

Question 5 of 5

A nurse is providing oral care for a client who is immobile. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Turning the client on their side prevents aspiration of secretions during oral care, especially for immobile clients. Using fingers to hold the mouth open may cause discomfort, petroleum jelly is secondary, and a stiff toothbrush can damage oral tissues.

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