ATI RN
ATI Nsg 131 Fundamentals Exam 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 bed 30° to 45° reduces aspiration risk, a priority for unconscious clients.
Question 2 of 5
A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Dehydration is expected from fluid and electrolyte loss due to prolonged diarrhea.
Question 3 of 5
A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
Correct Answer: A
Rationale: Cleaning and drying the area ensures proper adhesion and effectiveness of the transdermal patch.
Question 4 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: Applying petroleum jelly prevents lip dryness, crucial for immobile clients.
Question 5 of 5
A nurse is assessing a client's radial pulse and determines that the pulse is irregular. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing the apical pulse for a full minute accurately evaluates irregular heart rhythm.