ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse and an assistive personnel (AP) are providing postmortem care for a deceased client before visitation by the family. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: B
Rationale: Removing dentures requires intervention as they should stay in place to maintain the deceased's natural facial appearance.
Question 2 of 5
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Correct Answer: B
Rationale: Tightening stomach muscles stabilizes the core, supporting the spine and preventing back strain when turning an immobile client.
Question 3 of 5
A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Removing the staple from the skin only after both sides are visible ensures proper removal without causing unnecessary trauma or discomfort to the patient, allowing for a smooth and controlled extraction.
Question 4 of 5
A nurse is assisting with the care of a client who has a prescription for IV therapy. The client tells the nurse that they have numerous allergies. Which of the following allergies should the nurse bring to the attention of the charge nurse prior to the initiation of the therapy?
Correct Answer: B
Rationale: Latex allergies are critical in a hospital setting where latex is common in supplies like IV tubing, potentially causing severe reactions like anaphylaxis.
Question 5 of 5
A nurse is documenting client care in a client's electronic health record. Which of the following entries should the nurse include in the documentation?
Correct Answer: A
Rationale: Documenting 'Complained about having incisional pain.' tracks pain levels and interventions, crucial for care continuity.