ATI PN Fundamentals 2023

Question 1 of 5

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A. Apply lidocaine gel to the urethra.B. Inflate the catheter's balloon.C. Lower the penis to a 45° angle.D. Twist the catheter gently.

Correct Answer: C

Rationale: Lowering the penis aligns the urethra, reducing resistance.

Question 2 of 5

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Tell the nurse that permission from the risk manager is required to view the client's record.B. Contact facility security to remove the nurse from the unit.C. Complete an incident report about the breach of confidentiality.D. Remind the nurse that only staff caring for the client may access the client's record.

Correct Answer: D

Rationale: This action reinforces HIPAA compliance without escalating unnecessarily.

Question 3 of 5

A nurse is setting up a sterile field in a client's room. Which of the following actions should the nurse take?

A. Placing a sterile instrument within 1.3 cm (0.5 in) of the edge of the sterile fieldB. Opening the top flap of the sterile tray package away from their bodyC. Dropping sterile objects onto the field from a height of 5 cm (2 in)D. Placing the cap of a sterile solution on a clean surface with the inside facing down

Correct Answer: B

Rationale: Opening the flap away maintains sterility by keeping the nurse's body out of the field.

Question 4 of 5

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

A. Ensure the oxygen delivery system is at least 8 feet from any heat sourceB. Adjust the oxygen flow rate as needed to ease breathing.C. Take antibiotic medication with or without food.D. Decrease the steroid dose each day.E. Take antibiotics for 10 days.F. Store the oxygen cylinder wrench with the oxygen tank.G. Take steroid medication in the morning.

Correct Answer: A,E,F,G

Rationale: A: Safety precaution. E: Standard antibiotic duration. F: Accessibility for emergencies. G: Morning steroids reduce adrenal suppression.

Question 5 of 5

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

A. Place an identification tag on the outside of the client's shroud.B. Remove the client's dentures and give them to the client's family.C. Wear sterile gloves when cleaning the client's body.D. Ask the assistive personnel to document the client's time of death.

Correct Answer: A

Rationale: An ID tag on the shroud ensures proper identification for autopsy purposes.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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