ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse in a provider's office is collecting data from an older adult client. The client states that he is having difficulty sleeping. Which of the following strategies should the nurse recommend to promote sleep?

A. Take a 1-hour nap each day. B. Watch television in bed. C. Drink a glass of milk before bedtime. D. Take a long walk before bedtime.

Correct Answer: C

Rationale: Milk contains tryptophan, which promotes sleep; other options may disrupt sleep patterns.

Question 2 of 5

A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?

A. Conduct staff communications away from the client's room. B. Turn off alarms on bedside monitoring equipment. C. Avoid entering the client's room unless requested during the night. D. Turn on the client's TV to distract from hallway noise.

Correct Answer: A

Rationale: Reducing noise by moving staff communication away enhances sleep without compromising safety.

Question 3 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'll use focused breathing to control my pain. B. I'll listen to my favorite music to take my mind off the pain. C. I'll learn to notice the sensation of muscle tension. D. I'll think about my grandfather's farm to reduce pain.

Correct Answer: D

Rationale: Guided imagery involves visualizing a calming scene (e.g., a farm) to distract from pain.

Question 4 of 5

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

A. We can talk to the provider about incorporating nonpharmacological pain management in your care. B. Tell me your expectations about activities related to the end-of-life. C. You can allow your family to visit as often as you wish. D. You can provide the name of a spiritual support person we can contact for you.

Correct Answer: B

Rationale: Exploring the client's expectations first ensures care aligns with their wishes.

Question 5 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma is draining a small amount of liquid stool. B. The stoma protrudes slightly from the abdomen. C. The stoma bleeds lightly when touched. D. The stoma appears dark in color.

Correct Answer: D

Rationale: A dark stoma indicates potential necrosis or ischemia, requiring immediate provider attention.

ATI LPN fundamentals 2023 | Nurselytic

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