ATI RN
ATI Nur 104 Fundamentals Final Exam Questions
Extract:
Question 1 of 5
A nurse is prioritizing care for two clients at the start of the shift. The first client, who is 1 day postoperative following a partial bowel resection, requires a dressing change, total parenteral nutrition administration, and reports a pain level of 6 on a scale from 0 to 10. The second client, who has a newly inserted percutaneous gastrostomy tube, requires a tube feeding, dressing change, and daily weight. Which of the following nursing actions should the nurse plan to complete first?
Correct Answer: C
Rationale: The correct answer is C: Administer pain medication to the first client. This is the priority because pain management is crucial for postoperative clients to ensure their comfort and promote recovery. Uncontrolled pain can lead to increased stress, delayed healing, and decreased mobility. By addressing the pain level of the first client, the nurse can improve the client's overall well-being and ability to participate in other necessary care activities.
Weighing the second client (choice
A) is important but not as urgent as addressing pain in the postoperative client. Obtaining vital signs for both clients (choice
B) is necessary but can be done after addressing the immediate pain issue. Changing the dressings of both clients (choice
D) is important, but pain management takes precedence.
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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