ATI Fundamentals 2 Quiz 2023

ATI Fundamentals 2 Quiz 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.