ATI Fundamentals 2 Quiz (Latest Update
) Questions & Answers {Grade
A} 100% Correct
A nurse is performing suctioning for a client who has a tracheostomy. Which of the
following actions should the nurse take?
A: pulse suction catheter back 1 cm if the client starts coughing
B: allow 30 seconds between suctioning passes
C: hyperventilate the client with 50% oxygen for 30 seconds
D: perform a maximum of four passes with the suction catheter - correct answer Pull
suction catheter back 1 cm (0.5 in) if the client starts coughing
-this will remove the catheter from the mucosal wall of the trachea prior to suctioning.
The nurse should allow at least one minute between sectioning passes to prevent
hypoxia and to hyperventilate the client. The nurse should hyperventilate the client
with 100% oxygen for at least two minutes before suctioning to decrease hypoxia. The
,nurse should perform a maximum of three passes with the suction catheter because
sectioning can cause hypoxia and induce dysrhythmia.
A nurse is teaching a client who is recovering from gallbladder surgery how to use an
incentive spirometer. Which of the following information should the nurse include in
the teaching?
A : exhale slowly to reach goal volume
B: hold breath for five seconds after goal volume is reached
C: continue to deep breathe between each cycle
D: limit repeat pattern of breathing to 5 breaths - correct answer Hold breath for 5
seconds after goal volume is reached
-The nurse should instruct the client to hold her breath for 3 to 5 seconds after
reaching maximal inspiratory volume. This decreases the collapse of alveoli, which
helps to prevent the risk of atelectasis and pneumonia. The client should breathe
, normally for short periods of time between each cycle of breaths. Instruct the client to
repeat the patterns for 10 to 20 breaths every hour while awake.
A nurse is changing the bed linens for a client who is on bed rest. Which of the
following actions should the nurse plan to take?
A: place the soiled linens on the chair while making the bed
B: hold the linens away from the body and clothing
C: placed the linens on the floor until able to place it in a linen bag
D: shake the clean linens to unfold - correct answer Hold the linens away from the
body and clothing
-The linen should be held away from the body and clothing to prevent soiling or the
transfer of micro organisms. The micro organisms present on the nurses clothing can
expose other clients to micro organisms.
) Questions & Answers {Grade
A} 100% Correct
A nurse is performing suctioning for a client who has a tracheostomy. Which of the
following actions should the nurse take?
A: pulse suction catheter back 1 cm if the client starts coughing
B: allow 30 seconds between suctioning passes
C: hyperventilate the client with 50% oxygen for 30 seconds
D: perform a maximum of four passes with the suction catheter - correct answer Pull
suction catheter back 1 cm (0.5 in) if the client starts coughing
-this will remove the catheter from the mucosal wall of the trachea prior to suctioning.
The nurse should allow at least one minute between sectioning passes to prevent
hypoxia and to hyperventilate the client. The nurse should hyperventilate the client
with 100% oxygen for at least two minutes before suctioning to decrease hypoxia. The
,nurse should perform a maximum of three passes with the suction catheter because
sectioning can cause hypoxia and induce dysrhythmia.
A nurse is teaching a client who is recovering from gallbladder surgery how to use an
incentive spirometer. Which of the following information should the nurse include in
the teaching?
A : exhale slowly to reach goal volume
B: hold breath for five seconds after goal volume is reached
C: continue to deep breathe between each cycle
D: limit repeat pattern of breathing to 5 breaths - correct answer Hold breath for 5
seconds after goal volume is reached
-The nurse should instruct the client to hold her breath for 3 to 5 seconds after
reaching maximal inspiratory volume. This decreases the collapse of alveoli, which
helps to prevent the risk of atelectasis and pneumonia. The client should breathe
, normally for short periods of time between each cycle of breaths. Instruct the client to
repeat the patterns for 10 to 20 breaths every hour while awake.
A nurse is changing the bed linens for a client who is on bed rest. Which of the
following actions should the nurse plan to take?
A: place the soiled linens on the chair while making the bed
B: hold the linens away from the body and clothing
C: placed the linens on the floor until able to place it in a linen bag
D: shake the clean linens to unfold - correct answer Hold the linens away from the
body and clothing
-The linen should be held away from the body and clothing to prevent soiling or the
transfer of micro organisms. The micro organisms present on the nurses clothing can
expose other clients to micro organisms.
