FUNDAMENTALS EXAM #2 ATI Questions & Answers-a nurse is caring for a client who fell at a nursing home. The client is oriented to person, place, and time
... [Show More] and can follow directions. Which of the following actions should the nurse take to decrease the risk of another fall? (select all that apply)
a. place a belt restraint on the client when they are sitting on the bedside commode
b. keep the bed in its lowest position with all side rails up
c. make sure that the client's call light is within reach
d. provide the client with nonskid footwear
e. complete a fall-risk assessment - c. make sure that the client's call light is within reach
d. provide the client with nonskid footwear
e. complete a fall-risk assessment
a nurse manager is reviewing with nurses on the unit in the care of a client who has had a seizure. Which of the following statements by a nurse required further instruction
a. I will place the client on their side
b. I will go to the nurses station for assistance
c. I will not the time the seizure begins
d. I will prepare to insert an airway - b. I will go to the nurses station for assistance
a nurse observes smoke coming from under the door of the staff's lounge. Which of the following actions is the nurse's priority?
a. extinguish the fire
b. activate the fire alarm
c. move clients who are nearby
d. close all open doors on the unit - c. move clients who are nearby
a nurse is caring for a client who has a history of falls. Which of the following actions is the nurse's priority?
a. complete a fall-risk assessment
b. educate the client and family about fall risks
c. eliminate safety hazards from the client's environment
d. make sure the client uses assistive aids in their possession - a. complete a fall-risk assessment
a nurse discovers a small paper fire in a trash can in a client's bathroom. The client has been taken to safety and the alarm has been activated. Which of the following actions should the nurse take?
a. open the windows in the clients room to allow smoke to escape
b. obtain a class C fire extinguisher to extinguish the fire
c. remove all electrical equipment from the client's room
d. place wet towels along the base of the door to the client's room - d. place wet towels along the base of the door to the client's room
a nurse is providing discharge instructions to a client who has a prescription for oxygen use at home. Which of the following information should the nurse include? (select all that apply)
a. family members who smoke must be at least 10 ft from the client when oxygen is in use
b. nail polish should not be used near client who is receiving oxygen
c. a "no smoking" sign should be placed on the front door
d. cotton bedding and clothing should be replaced with items made from wool
e. a fire extinguisher should be readily available in the home - b. nail polish should not be used near client who is receiving oxygen
c. a "no smoking" sign should be placed [Show Less]