Questions 67

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RN ATI Fundamentals of Nursing Questions

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Question 1 of 5

When reviewing the admitting prescriptions for a client,the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Contacting the provider (
D) ensures safety by clarifying an unusually high dose. Other choices risk administering an unsafe dose.

Question 2 of 5

A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min,respiratory rate 24/min BP 132/76 mm Hg and temperature 36.8°C (98.2°F). Which of the following actions should the nurse perform?

Correct Answer: C

Rationale: A neurological check (
C) is priority to assess sudden confusion and drowsiness indicating a potential neurological issue. Other choices are not immediately relevant.

Question 3 of 5

A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding,the nurse should measure the gastric residual for which of the following purposes?

Correct Answer: C

Rationale: Measuring gastric residual (
C) assesses stomach emptying to prevent complications from overfeeding. Other choices are incorrect purposes.

Question 4 of 5

A nurse is assessing a client's bowel sounds. At which of the following points in the assessment should the nurse auscultate the client's abdomen?

Correct Answer: B

Rationale: Auscultating before percussion or palpation ensures accurate bowel sound assessment without interference. Other choices disrupt natural sounds.

Question 5 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: A

Rationale: Observing respiratory status (
A) is the priority due to aspiration risk in decreased consciousness. Other actions are secondary.

Similar Questions

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)?
A nurse administers an incorrect medication to a client. Following an assessment of the client,the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?
A nurse is preparing to administer three liquid medications to a client who has an NG tube with intermittent suction. Which of the following actions should the nurse take?
A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following should the nurse identify as an interpersonal variable?
A nurse is assessing a client and discovers the infusion pump with the client's total parenteral nutrition (TPN) solution is not infusing. The nurse should monitor the client for which of the following conditions?

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