ATI Fundamentals 2 Quiz questions and solutions

Rationale: decreases collapse of alveoli, which helps prevent risk
ATI Fundamentals 2 of atelectasis and pneumonia
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Quiz questions and nurse is preparing to remove an NG tube for a client who had a
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partial colectomy. Which of the following actions should the nurse
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take? - answersPinch the NG tube while removing the tube.
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decreases risk of aspiration of any GI contents mi mi mi mi mi mi mi




A nurse is caring for a toddler at a well-child visit
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when the mother calls to the nurse, "Help! My
mi mi mi mi mi mi mi mi mi A nurse is providing teaching to a client who has a new colostomy
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baby is choking on his food." Which of the
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following findings indicates the toddler has an
mi mi mi mi mi mi mi nurse include in the teaching. - answersCleanse the skin around
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airway obstruction? - answersInability of the
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toddle to cry or speak.
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using soap can leave a residue and cause poor adherence of
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bc no sounds passing through vocal cords
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use heimliech maneuver mi mi




A nurse is performing a straight urinary catheterization for a female mi mi mi mi mi mi mi mi mi mi




A nurse is planning care for a client who has a client who has urinary retention. Which of the following actions
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prescription for collection of a sputum
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specimen for culture and sensitivity. Which of answersWipes the labia minor in an anteroposterior direction.
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the following actions should the nurse take
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when obtaining the specimen? -
mi The nurse should wipe anteroposterior both the right & left labia
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answersCollect the specimen upon arising in minora w/ sperate cotton swabs to destroy any microorganisms in
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the morning.
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in the morning it's easier to cough up secretions A nurse is caring for a client who has an NG tube for intermittent
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deepest specimens are usually collected in enteral feedings. Which of the following actions should the nurse
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morning
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try to collect before breakfast
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. - answersElevate the client's head of bed 45 degrees before the mi mi mi
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prior to coughing into container: rinse mouth
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feeding. mi mi mi mi mi
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and deep breathe
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Rationale: the nurse should do this to prevent aspiration mi mi mi mi mi mi mi mi




A nurse is caring for a client who has a history of
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dysrhythmias. Upon entering the room, the
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nurse is collecting a urine specimen for a culture and sensitivity for mi mi mi mi mi
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nurse discovers the client is unresponsive to a client who has a urinary tract infection. The client has an
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verbal or painful stimuli, has no respirations,
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indwelling urinary catheter in place. Which of the following actions
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and is pulseless. Which of the following actions should the nurse take? - answersClamp the tubing below the
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should the nurse take first? - answersStart
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collection port.mi mi mi mi mi mi
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chest compressions.
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Rationale: The nurse should clamp the tubing below the collection mi mi mi mi mi mi mi mi mi




give priority to the factor or situation posing the port to allow fresh uncontaminated urine to collect before
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greatest safety risk.
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withdrawing the specimen through the port and placing it in a
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sterile specimen cup. mi mi mi




A nurse is teaching a client who is recovering
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from gallbladder surgery how to use an
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A nurse is caring for a client who postoperative and who has an mi mi mi mi mi
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incentive spirometer. Which of the following
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indwelling urinary catheter to gravity drainage. The nurse notes no
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information should the nurse include in the
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urine output in the past 2 hr. Which of the following actions should mi mi mi mi mi mi
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teaching? - answersHold breath for 5 seconds the nurse take first? - answersCheck to determine if the catheter
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after goal volume is reached.
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tubing is kinked. mi mi mi
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