ATI PN Fundamentals Updated 2023

Extract:

Question 1 of 5

A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, 'I don't know what to do because he's not eating.' Which of the following responses should the nurse make?

A. He may need a feeding tube. B. Why do you think he's not eating? C. I'm sure it's nothing serious and his appetite will return soon. D. Tell me more about what happens at mealtime.

Correct Answer: D

Rationale: Asking about mealtime elicits more information empathetically, aiding assessment. Suggesting a tube is premature, 'why' may seem accusatory, and dismissing the issue invalidates concerns.

Question 2 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Inject air into the ampule prior to drawing the medication into a syringe. B. Cleanse the tip of the ampule with an alcohol swab after opening. C. Use a filter needle to aspirate the medication. D. Add 0.5 mL of diluent to the medication.

Correct Answer: C

Rationale: Using a filter needle prevents glass particles from entering the syringe. Injecting air, cleansing after opening, or adding diluent are incorrect for ampule medication administration.

Question 3 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Urinate after the specimen collection. B. Keep the specimen in a warm area. C. Place 1.3 cm (0.5 in) of formed stool into a culture tube. D. Avoid placing toilet tissue in the bedpan after defecation.

Correct Answer: D

Rationale: Avoiding toilet tissue in the bedpan prevents interference with analysis. Urination should precede collection, specimens should be cool, and more stool (2.5 cm) is needed.

Question 4 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I listen to my favorite music to take my mind off the pain. B. I learn to notice the sensation of muscle tension. C. I use focused breathing to control my pain. D. I think about my grandfather's farm to reduce pain.

Correct Answer: D

Rationale: Thinking about a pleasant place like a farm is guided imagery, altering pain perception through imagination. Music, tension awareness, and breathing are distraction, mindfulness, and relaxation, respectively.

Question 5 of 5

A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

A. Clean around the urinary meatus from front to back. B. Separate the labia with the nondominant hand. C. Insert the catheter into the urethral meatus. D. Secure the catheter to the client's thigh. E. Inflate the catheter balloon.

Correct Answer: A,B,C,E,D

Rationale: The correct order is: Clean the meatus (
A), separate labia (
B), insert catheter (
C), inflate balloon (E), secure to thigh (
D). This sequence minimizes infection risk and ensures proper placement.

ATI PN Fundamentals Updated 2023 | Nurselytic

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