ATI Fundamentals 2 Quiz / Complete Questions
& Correct Detailed Answers (100% Correct)
.
A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My
baby is choking on his food." Which of the following findings indicates the toddler has an airway
obstruction? - Answer: Inability of the toddle to cry or speak.
bc no sounds passing through vocal cords
use heimliech maneuver
A nurse is planning care for a client who has a prescription for collection of a sputum specimen
for culture and sensitivity. Which of the following actions should the nurse take when obtaining
the specimen? - Answer: Collect the specimen upon arising in the morning.
in the morning it's easier to cough up secretions
deepest specimens are usually collected in morning
try to collect before breakfast
prior to coughing into container: rinse mouth and deep breathe
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the
nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is
pulseless. Which of the following actions should the nurse take first? - Answer: Start chest
compressions.
give priority to the factor or situation posing the greatest safety risk.
, A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive
spirometer. Which of the following information should the nurse include in the teaching? -
Answer: Hold breath for 5 seconds after goal volume is reached.
Rationale: decreases collapse of alveoli, which helps prevent risk of atelectasis and pneumonia
nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the
following actions should the nurse take? - Answer: Pinch the NG tube while removing the tube.
decreases risk of aspiration of any GI contents
A nurse is providing teaching to a client who has a new colostomy about proper care. Which of
the following information should the nurse include in the teaching. - Answer: Cleanse the skin
around the stoma with warm water.
using soap can leave a residue and cause poor adherence of pouch
A nurse is performing a straight urinary catheterization for a female client who has urinary
retention. Which of the following actions indicates the nurse is maintaining sterile technique? -
Answer: Wipes the labia minor in an anteroposterior direction.
The nurse should wipe anteroposterior both the right & left labia minora w/ sperate cotton
swabs to destroy any microorganisms in the area that would contaminate.
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the
following actions should the nurse take?
. - Answer: Elevate the client's head of bed 45 degrees before the feeding.
Rationale: the nurse should do this to prevent aspiration
& Correct Detailed Answers (100% Correct)
.
A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My
baby is choking on his food." Which of the following findings indicates the toddler has an airway
obstruction? - Answer: Inability of the toddle to cry or speak.
bc no sounds passing through vocal cords
use heimliech maneuver
A nurse is planning care for a client who has a prescription for collection of a sputum specimen
for culture and sensitivity. Which of the following actions should the nurse take when obtaining
the specimen? - Answer: Collect the specimen upon arising in the morning.
in the morning it's easier to cough up secretions
deepest specimens are usually collected in morning
try to collect before breakfast
prior to coughing into container: rinse mouth and deep breathe
A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the
nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is
pulseless. Which of the following actions should the nurse take first? - Answer: Start chest
compressions.
give priority to the factor or situation posing the greatest safety risk.
, A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive
spirometer. Which of the following information should the nurse include in the teaching? -
Answer: Hold breath for 5 seconds after goal volume is reached.
Rationale: decreases collapse of alveoli, which helps prevent risk of atelectasis and pneumonia
nurse is preparing to remove an NG tube for a client who had a partial colectomy. Which of the
following actions should the nurse take? - Answer: Pinch the NG tube while removing the tube.
decreases risk of aspiration of any GI contents
A nurse is providing teaching to a client who has a new colostomy about proper care. Which of
the following information should the nurse include in the teaching. - Answer: Cleanse the skin
around the stoma with warm water.
using soap can leave a residue and cause poor adherence of pouch
A nurse is performing a straight urinary catheterization for a female client who has urinary
retention. Which of the following actions indicates the nurse is maintaining sterile technique? -
Answer: Wipes the labia minor in an anteroposterior direction.
The nurse should wipe anteroposterior both the right & left labia minora w/ sperate cotton
swabs to destroy any microorganisms in the area that would contaminate.
A nurse is caring for a client who has an NG tube for intermittent enteral feedings. Which of the
following actions should the nurse take?
. - Answer: Elevate the client's head of bed 45 degrees before the feeding.
Rationale: the nurse should do this to prevent aspiration
