ATI FUNDAMENTALS QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALES 2025
a nurse is preparing to perform mouth care for an unresponsive client. which
of the following actions should the nurse plan to take?
A. place the client supine
B. keep both side rails up
C. raise the level of the bed
D. inspect the client's mouth using a finger sweep - answer--c. raise the level
of the bed
place the client supine.
to prevent the risk of aspiration, the nurse should raise the client's head to 30°
or turn the client to a side-lying position.
raise the level of the bed.
my answer
the nurse should raise the bed to allow for the use of proper body mechanics
and reduce the risk of self-injury.
keep both side rails up.
to prevent straining and the risk of self-injury, the nurse should lower the
near side rail before performing mouth care.
inspect the client's mouth using a finger sweep.
to prevent the risk of care-giver injury, the nurse should never insert fingers
into the mouth of an unresponsive client.
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a nurse is witnessing a client sign an informed consent form for surgery.
which of the following describes what the nurse is affirming by this action?
A. the client fully understands the provider's explanation of the procedure.
B. the client has been informed about the risks and benefits of the procedure.
C. the nurse witnessed the provider's explanation of the procedure.
D. the signature on the preoperative consent form is the client's. - answer--d.
the signature on the preoperative consent form is the client's
the signature on the preoperative consent form is the client's.
my answer
the nurse acts as a witness to attest that it is the client's signature on the
preoperative consent form. it is the responsibility of the provider who will
perform the procedure to obtain consent by explaining the procedure along
with the associated risks and benefits.
the client has been informed about the risks and benefits of the procedure.
it is the responsibility of the provider who will perform the procedure to
inform the client about the risks and benefits and to obtain consent.
the nurse witnessed the provider's explanation of the procedure.
it is not necessary for the nurse to witness the provider's explanation of the
procedure.
the client fully understands the provider's explanation of the procedure.
it is the responsibility of the provider who will perform the procedure to
ensure that the client understands the explanation of the procedure.
a nurse is assessing the heart sounds of a client who has developed chest pain
that becomes worse wth inspiration. the nurse auscultates a high-pitched
scratching sound during both systole and diastole with diaphragm of the
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