ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Observe the client's skin integrity every 2 hr. B. Use a square knot to secure the client's restraint to the bed. C. Ensure that 2 fingers can be placed between the restraint and the client. D. Tie the ends of the restraint to the client's bed rail. E. Pad bony prominences before applying a restraint.

Correct Answer: A,C,E

Rationale: A: Frequent skin checks prevent injury. C: Two fingers ensure proper fit. E: Padding protects bony areas.

Question 2 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client reports being dissatisfied with the temperature of the meals provided. B. A client receives burns from a heating pad. C. A client becomes disoriented and falls out of bed. D. A client is unable to afford the physical therapy that the provider recommends. E. A client's visitor becomes dizzy and faints in the client's room.

Correct Answer: B,C,E

Rationale: B: Burns indicate harm. C: Falls require reporting. E: Visitor fainting is an unexpected event.

Question 3 of 5

A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Administering vaginal cream to a client who has a vaginal infection B. Providing postmortem care for a client who has just died C. Suctioning a tracheostomy for a client who has a recent head injury D. Changing a peripheral IV dressing for a client who is postoperative

Correct Answer: B

Rationale: Postmortem care is within the AP's scope; medication administration and invasive procedures are not.

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 source B. 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 charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A. I will rinse the contaminants from a bedpan with hot water. B. I will wear sterile gloves when bathing a client who is incontinent. C. I will use disinfectant to clean the blood pressure cuff after use on a client. D. I will double-bag a client's linens each day.

Correct Answer: C

Rationale: Disinfecting equipment like a BP cuff prevents cross-contamination between clients.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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