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Practice Question

A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?

Answer Choices:

Correct Answer:

Check the patency of the client's airway

Rationale:
✔️ The priority in any emergency or acute scenario is to apply the ABC framework—Airway, Breathing, and Circulation—to identify and manage life-threatening conditions promptly. ✔️ A client experiencing a seizure is at high risk for airway obstruction due to potential tongue displacement, clenched jaw, or accumulation of secretions. ✔️ Immediate assessment of airway patency ensures oxygenation and prevents complications like respiratory arrest. ✔️ Once the airway is secured, the nurse can then proceed with positioning the client on their side to promote drainage and reduce aspiration risk.
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This question is from RN Medsurg Comprehensive Pharm Exam 1 which contains 94 questions.

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A nurse is providing dietary teaching for a client who is Asian- American and is gazing at the floor during the instructions. Which of the following actions should the nurse take to demonstrate culturally sensitive nursing care?

Answer Choices:

A. Emphasize the significance of the information.
B. Continue with the discussion
C. Stop the instructions to see what is on the floor
D. Move closer to the client for eye contact.
A nurse is observing an assistive personnel (AP) changing the linens on the bed of a client who is immobile. Which of the following actions by the AP should the nurse identify as an indication of the need to intervene?

Answer Choices:

A. Rolls the client to one side of the bed
B. Reaches over the bed to straighten the fitted sheet
C. Lowers the side rail on the side of the bed closest to the AP
D. Raises the bed to waist level
A nurse in a long-term care facility is caring for an older adult client who had a stroke 4 weeks ago and who is unable to move independently. The nurse should monitor for which of the following complications of immobility?

Answer Choices:

A. Difficulty moving the upper extremities
B. Difficulty hearing some types of sounds
C. Stiffness in the lower extremities
D. A reddened area over the sacrum
From Exam
RN Medsurg Comprehensive Pharm Exam 1

94 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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