ATI PN Fundamentals Updated 2023

Extract:

Question 1 of 5

A nurse in a provider's office receives a telephone call from a client's sibling requesting current information about the client's condition. Which of the following actions should the nurse take?

A. Request that the caller contact the client's provider directly for information. B. Ask the caller to contact the client directly for information. C. Gather additional information from the caller to verify their identity. D. Provide the caller with a brief update about the client's condition.

Correct Answer: C

Rationale: Gathering information to verify the caller's identity ensures compliance with privacy laws (e.g., HIPA
A) before sharing information. Redirecting the caller or providing updates without verification risks breaching confidentiality.

Question 2 of 5

A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

A. Turn on loud music in client care areas. B. Assign different nurses to provide care for clients each day. C. Offer the clients many choices regarding care. D. Restrict the number of visitors for clients.

Correct Answer: D

Rationale: Restricting the number of visitors can reduce noise and overstimulation, promoting a calm environment. Loud music, inconsistent staffing, and excessive choices can increase stress.

Question 3 of 5

A nurse is reinforcing teaching with a client who needs to increase vitamin C intake to promote wound healing. Which of the following foods should the nurse recommend as the best source of vitamin C?

A. 1 small banana B. 1 medium fresh green pear C. 1 small pink grapefruit D. 1 small apple with the skin

Correct Answer: C

Rationale: A small pink grapefruit contains 38.4 mg of vitamin C, the highest among the options, making it the best source for wound healing. Banana, pear, and apple have significantly less.

Question 4 of 5

A nurse is reinforcing teaching with the adult children of a client who is receiving palliative care. Which of the following statements by one of the adult children indicates an understanding of the teaching?

A. We will receive emotional support during our mother's illness. B. We will provide resuscitation to our mother if necessary. C. We won't discuss the illness in the presence of our mother. D. We won't allow her spiritual advisor to visit during this time.

Correct Answer: A

Rationale: Palliative care includes emotional support for families, which this statement reflects. Resuscitation contradicts palliative goals, and avoiding discussion or spiritual support misunderstands the holistic approach.

Question 5 of 5

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

A. Client instructed on self-care needs. B. Oral temperature elevated at 0800. C. Episiotomy approximated, 3 cm (1.18 in) in length. D. Client drank adequate amounts of fluid with meals.

Correct Answer: B

Rationale: Oral temperature elevated at 0800' is specific and accurate, indicating an abnormal finding that requires monitoring. The other options lack specificity or detail required for proper documentation.

ATI PN Fundamentals Updated 2023 | Nurselytic

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ATI LPN

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