ATI Fundamentals Practice Questions and answers verified 100% (fall 2023)
ATI Fundamentals Practice Questions and answers verified 100% (fall 2023) 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 - Answer: C b/c need 3 points of contact with ground at all times Which client can have an MRI? a. coronary artery stents b. aneurysm clip c. hearing aids d. automated internal defibrillator - C. b/c hearing aids can be removed 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 - 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 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 d. turn on television - Answer: B b/c stimulates saliva production to aid in swallowing NOT A b/c thin fluids risk for choking, best to suggest dry swallows to clear mouth between bites of food A nurse is assisting a client who has R-sided weakness while ambulating using a cane. Which of the following client actions indicate that the client understands procedure of cane walking? t holds cane on affected side b. client advances unaffected leg followed by cane c. client support weight on unaffected leg when moving cane forward d. client keeps 2 points of support on ground - Answer: D NOT C b/c client should support weight on both legs when moving cane forward A nurse is caring for a client who has a cuffed endotracheal tube in place. The nurse should identify the purpose of inflating the cuff is (SATA) ing client to speak b. stabilize position of tube c. prevent aspiration of secretions d. prevent air leaks e. prevent tracheal injury - Answer: B,
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