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• A nurse is caring for a client who has a tracheostomy and requires suctioning.
Which of the following actions should the nurse take?
A.Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate the
client for several minutes prior to suctioning.
B. Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during inhalation
C.Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk of
damage to the tracheal mucosa and removes oxygen from the airways.
D.Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
• A nurse is caring for a client who is exhibiting confusion. The nurse should
identify that which of the following laboratory values can cause confusion?
A.Sodium 123 mEq/L
-A sodium level of 123 mEq/L is below the expected reference range of 136 to
145 mEq/L. Low sodium levels can cause confusion and lead to seizures, coma,
and death.
B. Blood glucose 100 mg/dL
-incorrect: A blood glucose level of 100 mg/dL is within the expected reference
range of 70-110 mg/dL for fasting and less than 200 mg/dL for a casual blood
draw.
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,ATI Fundamentals Exam Questions and Answers
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C.Potassium 3.5 mEq/L
-incorrect: A potassium level of 3.5 mEq/L is within the expected reference
range of 3.5 to 5 mEq/L.
D.Hemoglobin 13 g/dL
-incorrect: A hemoglobin level of 13 g/dL is within expected reference range of 12 to
18 g/dL.
• A nurse is caring for a client who has a gastric ulcer. The nurse
should explain that prolonged exposure of the body to stress can also
cause which of the following to occur? A. Hyperglycemia
-Stress causes an increased secretion of cortisol, which can lead
to hypertension and hyperglycemia.
B. Hypotension
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,ATI Fundamentals Exam Questions and Answers
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-incorrect: Prolonged stress can lead to essential hypertension.
C. Heightened immune response
-incorrect: Prolonged stress weakens the immune response, placing the client at
risk of various infections and worsening the severity of those infections.
D. Bleeding tendencies
-incorrect: Prolonged stress can lead to platelet aggregation and can increase the
client’s risk of myocardial infarction and stroke.
• A nurse is assessing a client who is experiencing stress and anxiety
regarding a recent diagnosis. Which of the following findings should the
nurse expect?
A.Increased blood pressure
-The nurse should expect a client who is experiencing stress and anxiety to
manifest an increase in blood pressure and heart rate as a result of sympathetic
stimulation.
B. Decreased blood glucose level
-incorrect: The nurse should expect a client who is experiencing stress and anxiety
to manifest an increase in blood glucose due to the release of glucocorticoids and
gluconeogenesis.
C.Decreased oxygen use
-incorrect: The nurse should expect a client who is experiencing stress and anxiety
to manifest an increase in oxygen use due to an increased metabolic rate and
oxygen demands of the body.
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, ATI Fundamentals Exam Questions and Answers
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D.Increased gastrointestinal motility
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