ATI LPN
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions
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?
Correct Answer: B
Rationale: Asking for more details helps assess the situation, guiding appropriate interventions. Suggesting a tube is premature, 'why' may feel confrontational, and dismissing the issue avoids addressing it.
Question 2 of 5
A nurse is caring for a client who is angry and states, 'The doctor gave me the wrong information. I was lied to!' Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: Reflecting the client's feelings shows empathy and encourages discussion. Defending the doctor or questioning the client may dismiss their concerns.
Question 3 of 5
A nurse is caring for a client who is pulling on his NG tube. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assessing comfort identifies the cause (e.g., pain, anxiety), guiding next steps. Sedation or restraints are not first actions, and documentation follows assessment.
Question 4 of 5
A nurse is caring for a who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the worse take to determine the client's level of pain?
Correct Answer: C
Rationale: The FLACC scale assesses pain in nonverbal patients via observable signs, ideal for language barriers. FACES requires language, boards may not work, and interpreters aren't the best for pain assessment.
Question 5 of 5
A nurse is performing eye care for a client who is in a coma. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B prevents dryness if eyelids don't close, D maintains moisture, and E lubricates to protect the cornea. A risks contamination, and C is too harsh for eyes.