ATI Fundamentals Practice Questions & Answers
1. A nurse is teaching a client with lower extremity weakness to use a 4 point crutch gait.
Which of the following instructions should the nurse include in the teaching?
a. support the weight on your axillae
b. keep your elbows extended
c. bear weight on both of your legs
d. move both crutches forward at the same time
ANS Answer
C b/c need 3 points of contact with ground at all times
2. Which client can have an MRI?
a. coronary artery stents
b. aneurysm clip
c. hearing aids
d. automated internal defibrillator
ANS C. b/c hearing aids can be removed
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3. A nurse is preparing to remove an NG tube for a client who had a partial colectomy.
Which action should nurse take?
a. maintain suction while removing NG tube
b. instill 100mL of air into NG tube before removal
c. pinch NG tube while removing tube
d. instruct client to breath in and out during removing
ANS Answer
C
Pinch, instill 50mL of air into tube to clear drainage contents, take +hold deep breath
--> decreases risk of aspiration of gastric contents
Disconnect from suction
4. Older adult with dysphagia. What action is appropriate?
a. encourage client to drink fluids before swallowing food
b. offer client tart or sour foods first
c. tilt client's head backward when swallowing
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