ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse in a long-term care facility is preparing to administer medications to a client who has advanced dementia and does not have an identification band. Which of the following actions should the nurse take to verify the client's identity?

A. Ask the client to state their room number. B. Have the client state their phone number. C. Review the client's photograph in the medical record. D. Request an assistive personnel to identify the client.

Correct Answer: C

Rationale: A photograph in the record is a reliable identifier for a client with dementia.

Question 2 of 5

A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I'm glad to have the opportunity to choose what kind of care I receive while I still can. B. If I want life support, I'll need to sign a separate consent form first. C. I can't change my mind about the care I will receive once I sign my living will. D. Once I fill out my living will, there will be a 1-month delay before it is legally binding.

Correct Answer: A

Rationale: Advance directives allow clients to specify care preferences, reflecting autonomy.

Question 3 of 5

A nurse is caring for a client who follows a lacto-vegetarian diet. Which of the following food choices should the nurse recommend?

A. Tuna fish B. Clam chowder C. Cheese D. Chicken

Correct Answer: C

Rationale: Cheese fits a lacto-vegetarian diet, which includes dairy but excludes meat and fish.

Question 4 of 5

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SpO2 level is 88% while on room air. Which of the following actions should the nurse take first?

A. Recheck the client's SaO2 level after having the client cough and clear their throat. B. Notify the charge nurse of the client's condition. C. Review the client's most recent SaO2 level in the medical record. D. Check the client's medical records to see which medications were recently admitted.

Correct Answer: A

Rationale: Rechecking SpO2 after clearing the airway rules out temporary obstruction as the cause.

Question 5 of 5

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

A. Place the specimen in a clean specimen cup. B. Clamp the catheter tubing below the needleless port. C. Clamp the catheter tubing for 60 min. D. Remove 45 mL of urine from the catheter with a syringe.

Correct Answer: B

Rationale: Clamping below the port allows fresh urine to collect for an accurate culture.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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