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Practice Question

A nurse enters a client's room and finds the client on the floor having a seizure. Which of the following actions should the nurse take?

Answer Choices:

Correct Answer:

Clear the nearby area of furniture.

Rationale:

💎During a seizure, the nurse’s immediate priority is to ensure the client's safety by preventing injury.

💎Clearing furniture and objects from the surrounding area helps avoid trauma to the head or limbs during involuntary movements.

💎This action aligns with seizure precautions and is a critical nursing intervention for clients with known or suspected seizure activity.

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This question is from RN Fundamentals~2023 Exam 5 which contains 60 questions.

More Questions from This Exam
A charge nurse is observing a staff nurse performing wound irrigation for a client who has a pressure injury. Which of the following actions by the staff nurse indicates an understanding of the procedure?

Answer Choices:

A. Refrigerates the solution before irrigation
B. Administers an analgesic medication 5 minutes before starting irrigation
C. Uses one pair of gloves for dressing removal and irrigation
D. Uses a syringe with a catheter for wound irrigation
A nurse is ambulating a client who is unsteady. The client begins to fall. Which of the following actions should the nurse take?

Answer Choices:

A. Move quickly to a position in front of the client.
B. Remain upright as the client falls toward them.
C. Allow the client to slide down their outstretched leg
D. Place their arms around the client to prevent the fall.
A nurse is caring for a client who is 6 hours postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?

Answer Choices:

A. Allow the client to hear running water while attempting to void.
B. Encourage fluid intake up to 1 mL daily.
C. Provide the client a bedpan while lying supine.
D. Insert an indwelling urinary catheter and connect it to gravity drainage.
A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Answer Choices:

A. Eyelashes that curl slightly outward.
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C. Eyelids that blink involuntarily 30 to 35 times per minute.
D. Pupils that are 8 to 9 mm in diameter.
From Exam
RN Fundamentals~2023 Exam 5

60 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Fundamentals of Nursing
  • Answer Choices: 4
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