Ngn ATI Fundamentals Proctored Exam Test Bank latest 2023/2024 most questions tested 2023 NEXT GEN FORMAT GRADED A IN ALL VERSIONS
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Ngn ATI Fundamentals Proctored Exam Test Bank latest
2023/2024 most questions tested 2023 NEXT GEN
FORMAT GRA17. A nurse is caring from a client who has a tracheostomy. Which of the following actions
should the nurse take?
a. Clean the skin around the stoma with normal saline.
b. Secure the tr...
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Ngn ATI Fundamentals Proctored Exam Test Bank latest
2023/2024 most questions tested 2023 NEXT GEN
FORMAT GRADED A IN ALL VERSIONS
,
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17. A nurse is caring from a client who has a tracheostomy. Which of the following actions
should the nurse take?
a. Clean the skin around the stoma with normal saline.
b. Secure the tracheostomy ties with one finger to fit snugly underneath. → 2 snug fingers
widths under neck strap
c. Soak the outer cannula in warm tap water. STERILE NS
d. Use a cotton tip applicator to clean the inside in the inner cannula. <to clean OUTER
cannula surfaces, cllity-approved solution>ean the inside with the faci
Rationale : according to POTTER, funda pg. 866 using NS-saturated cotton-tipped
sterile swabs and 4x4 gauze, clean exposed outer cannula surfaces and soma under
faceplate, extending 5-10cm (2-4in) in all directions from stoma.
18. A nurse is documenting in a client‟s medical record . Which of the following entries should
the nurse record?
a. “Incision without redness or drainage.”
b. “Drink adequate amounts of fluid with meals.” WHATS THE AMOUNT
c. “Oral temperature slightly elevated at 0800.” WHATS THE TEMP
d. “Administered pain medication.”
<Anyaction & change to the client‟s condition should be recorded>
19. A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on
clients who are confused. Which of the following instructions should the nurse include?
a. “Use full- length side rails on the client‟s bed.”
b. “Check on the client frequently while he is in the restroom.”
c. “Encourage physical activity throughout the day to expand energy.”
, d. “Remove clocks from the client‟s room.”
20. A nurse in an emergency department is assessing a client who reports RIGHT lower quadrant
pain, nausea and vomiting for the past 48 hr. Which of the following actions should the nurse
take first?
a. Auscultate bowel sounds.
b. Administer an antiemetic.
c. Offer a pain med.
d. Palpate the abdomen.
Possible appendicitis “nausea/vomiting” with RLQ pain.
(IAPP) INSPECTION. AUSCULTATE. PERCUSS. PALPATE- FOR BOWEL
21. A nurse is assessing a client‟s extraocular eye movements. Which of the following should the
nurse take?
a. Instruct the clients to follow a finger through the six cardinal fields of gaze.
Rationale: Cardinal fields of gaze test for cranial nerves 3, 4, and 6 which are for eye
movement
b. Hold a finger 46 cm (18 in) in front of the client‟s eyes.
c. Ask the clients to cover her right eye during assessment of her left eye.
d. Position the client‟s 6.1 m (20 feet) away from the Snellen chart. (This is for cranial
nerve 2)
22. A nurse is providing a teaching to a client who had a new medication prescription. Which of
the following manifestations of a mild allergic reaction should the nurse include?
a. Urticaria
b. Ptosis
c. Nausea
d. Hematuria
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