ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse in an acute care setting is documenting postmortem care in a client's medical record. Which of the following information should the nurse include in the documentation?
Correct Answer: C
Rationale: The release of personal belongings form ensures proper accounting and handover of the client's belongings, providing a clear record essential for postmortem documentation.
Question 2 of 5
A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Counting radial and apical pulses simultaneously with another nurse accurately assesses a pulse deficit, identifying discrepancies due to irregular heartbeats.
Question 3 of 5
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider?
Correct Answer: D
Rationale: Low urine output (60 mL over 3 hours) is a critical finding in chronic kidney disease, indicating potential acute kidney injury or worsening function, requiring immediate attention.
Question 4 of 5
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents an ethical dilemma?
Correct Answer: B
Rationale: Please don't tell my doctor, but I am taking my partner's oxycodone.' presents an ethical dilemma due to illegal and harmful behavior, balancing confidentiality with duty to protect.
Question 5 of 5
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Correct Answer: B
Rationale: Tightening stomach muscles stabilizes the core, supporting the spine and preventing back strain when turning an immobile client.