ATI Virtual Review questions with correct answers

1A nurse is caring for an unresponsive client with a tracheostomy who is receiving mechanical ventilation. How often should oral care be provided to this client? Correct Answer - Give oral care every 2 hours. A nurse is caring for a client scheduled to undergo a thoracentesis. Provide two (2) expected nursing considerations for pre-procedure, 2 for intra-procedure, and 2 for post procedure. Correct Answer - - Pre-procedure: inform consent, teach patient to remain still and do not cough or talk during procedure (risk for accidental needle damage). - Intra: • Measure and record the amount of fluid removed from the client's chest. • Label specimens at the bedside, and promptly send them to the laboratory. - Post: Apply pressure to prevent bleeding • Measure and record the amount of fluid removed from the client's chest. • Label specimens at the bedside, and promptly send them to the laboratory. 1A nurse is providing fall prevention education to the parents of an infant. What information should be included in this education? Correct Answer - - Keep crib and playpen rails up. - Never leave the infant unattended on a changing table or other high surface. - Use gates on stairs, and ensure windows have screens. - Restrain according to manufacturer's recommendations and supervise when in high chair, swing, stroller, etc. Discontinue use when the infant or toddler outgrows size or activity limits. - Place in a low bed when toddler starts to climb