ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A. Orthostatic hypotension.B. BMI of 24.C. Type 1 diabetes mellitus.D. Family history of osteoporosis.

Correct Answer: C

Rationale: Type 1 diabetes increases cardiovascular risk due to vascular damage.

Question 2 of 5

A nurse is assisting in the care of a 72-year-old female client who recently had a stroke and is being monitored for complications. Complete the following sentence by using the lists of options. The client is at risk for developing ___ due to ___.

A. Deep vein thrombosis (DVT)B. Prolonged immobilityC. Urinary CatheterD. constipation

Correct Answer: A,B

Rationale: A: DVT is a risk post-stroke. B: Immobility increases clotting risk.

Question 3 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. Review the client's photograph in the medical record.B. Request an assistive personnel to identify the client.C. Ask the client to state their room number.D. Have the client state their phone number.

Correct Answer: A

Rationale: A photograph ensures accurate identification, critical for a client with dementia unable to self-identify.

Question 4 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. Pad bony prominences before applying a restraint.B. Tie the ends of the restraint to the client's bed rail.C. Use a square knot to secure the client's restraint to the bed.D. Observe the client's skin integrity every 2 hr.E. Ensure that 2 fingers can be placed between the restraint and the client.

Correct Answer: A,D,E

Rationale: A: Protects skin. D: Monitors for issues. E: Prevents overly tight restraints.

Question 5 of 5

A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?

A. Flex hips and knees when assisting the client to a standing position.B. Pivot on the foot farthest from the bed when assisting the client into the chair.C. Stand on the client's stronger side when moving the client into the chair.D. Raise the bed to waist level before moving the client.

Correct Answer: A

Rationale: Flexing hips and knees uses proper mechanics, reducing injury risk during transfer.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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