ATI Fundamentals Exam One with Questions and Complete Solutions

ATI Fundamentals Exam One with Questions and Complete Solutions A nurse is providing oral care for a client who is unconscious. Which of the following actions should the nurse take? A. Place the client in a lateral position with the head turned to the side before beginning the procedure B. Use the thumb and index finger to keep the client's mouth open C. Rinse the client's mouth with an alcohol-based mouthwash following the procedure D. Cleanse the client's mucous membranes with the lemon-glycerin sponges ANSWER A. Place the client in a lateral position with the head turned to the side before beginning the procedure This position reduces the risk of aspiration. While admitting a client to the medical unit, the nurse asks him if he has advanced directives. The client states, "I have a document with me that names someone who can make health care decisions for me if I am not able." The nurse should identify that the client if referring to which of the following documents? A. Informed consent form B. Living will document C. Do not-resuscitate (DNR) directive D. Durable power of attorney document ANSWER D. Durable power of attorney document