ATI PN Fundamentals 2020 NGN Exam 1

Question 1 of 5

A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?

A. Use warm water when bathing the client.B. Place a donut-shaped cushion in the client's chair.C. Massage reddened areas over bony prominences.D. Maintain the client in high-Fowler's position.

Correct Answer: A

Rationale: Using warm water when bathing helps maintain skin integrity by ensuring the skin is clean without causing excessive dryness or irritation. Warm water is gentle on the skin and helps in maintaining its natural moisture balance.

Question 2 of 5

A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?

A. I know that I can change my advance directives if I need to in the future.'B. My health care surrogate will make my health care decisions as soon as I have signed the power of attorney.'C. My family can overrule the decisions made by my health care surrogate.'D. Advance directives from one state are valid in any other state.'

Correct Answer: A

Rationale: I know that I can change my advance directives if I need to in the future.' indicates understanding, as clients can update advance directives if their wishes or circumstances change.

Question 3 of 5

A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?

A. It must be difficult facing this type of surgery.'B. Other clients who have had this surgery have done just fine.'C. This facility is known for providing excellent care for people who need this type of surgery.'D. I can request a sleeping pill if you think that will help.'

Correct Answer: A

Rationale: It must be difficult facing this type of surgery.' acknowledges the client's feelings and provides emotional support, which is crucial in reducing anxiety and promoting a sense of understanding and empathy.

Question 4 of 5

A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?

A. You will need to sign a consent form before we begin the procedure.'B. I will place a gel pad directly above your pubic area before I place the probe.'C. You will need to hold your urine for 1 hour prior to the procedure.'D. You will receive a contrast dye through an IV catheter prior to the scan.'

Correct Answer: B

Rationale: I will place a gel pad directly above your pubic area before I place the probe.' ensures proper ultrasound transmission for accurate bladder scan results.

Question 5 of 5

A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?

A. Stand with your feet together and your arms at your sides.'B. After I place the tuning fork, tell me when you no longer hear the sound.'C. I'm going to stroke the lateral side of the bottom of your foot.'D. Touch each fingertip as quickly as possible with your thumb.'

Correct Answer: A

Rationale: Stand with your feet together and your arms at your sides.' is correct. This position helps assess the client's balance with minimal sensory input, evaluating proprioception and vestibular function.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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ATI LPN

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