Virtual ATI Fundamentals Questions and Answers | Verified Answers with Rationale | Brand New Version!

A nurse is caring for school-age client was diagnosed with sickle cell anemia and has
been admitted for vaso-occlusive crisis. Which of the following findings has the highest
priority? ----CORRECT ANSWER------Slurred Speech
A nurse is caring for a toddler who has acute otitis media and is prescribed benzocaine
ear drops for pain relief. Which of following actions by the nurse is appropriate when
administering the ear drops? ----CORRECT ANSWER------Warm refrigerated drops to
room temp prior to instillation
A nurse is caring for a client who is one month post bariatric surgery and has been
diagnosed with dumping syndrome. Which of the following recommendations is
appropriate? Select all that apply.
a. Sit up for at least an hour after each meal.
b. Reduce the amount of protein and fat in the diet.
c. Eliminate liquids with meals, and for one hour before and after meals.
d. Avoid consuming milk, sweets, and sugars.
e. Eat small, frequent meals during the day. ---CORRECT ANSWER----Avoid
consuming milk, sweets, and sugars., Eat small, frequent meals during the day.,
Eliminate liquids with meals, and for one hour before and after meals.
Dumping syndrome frequently occurs after bariatric surgery and symptoms can include
vertigo, syncope, pallor, diaphoresis, tachycardia, and palpitations. Therapy includes:
small, frequent meals rather than large ones; avoidance of milk, sweets, and sugars;
elimination of liquids with meals and for one hour before and after meals; reduction in
the amount of fluid ingested at one time, eating a high-protein, high-fat, and low-tomoderate carbohydrate diet; and lying down after meals to slow transit time of food in
the intestines.
A nurse is caring for a client hospitalized with Guillain-Barré Syndrome who has been in
the intensive care unit on a ventilator for four days. Which of the following would be
most appropriate in assessing for complications of immobility? Select all that apply.
a. Assess the character of bowel sounds and frequency of stools.
b. Observe skin color over sacral, heels, and scapulae areas.
c. Assess rate and depth of respiratory effort.
d. Assessing the client's ability to move lower extremities.
e. Performing range of motion on the client's ankles, knees, and hips. ---CORRECT
ANSWER----The correct answer is: Performing range of motion on the client's ankles,
knees, and hips., Assess the character of bowel sounds and frequency of stools.,
Observe skin color over sacral, heels, and scapulae areas.
Potential complications of immobility could include the following: loss of joint motion and
contractures, decreased gastrointestinal motility and constipation, deep vein thrombosis
with erythema and swelling of the calf areas, and skin breakdown with early evidence of
pallor, erythema, blistering over bony prominences.