ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 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?
Correct Answer: B
Rationale: Restricting visitors reduces noise and disruption, minimizing environmental stress.
Question 2 of 5
A nurse is caring for a client who was recently admitted to hospice care and tells the nurse, “I am going to die and my family is hoping for a cure. I am mad that they behave like everything will be fine.†Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client's feelings validates their emotions and encourages further discussion.
Question 3 of 5
A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?
Correct Answer: C
Rationale: Chlorine bleach is effective against C. difficile spores, unlike the other options.
Question 4 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: C
Rationale: Wanting to learn dressing changes shows acceptance and adaptation to the amputation.
Question 5 of 5
A nurse observes assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: A
Rationale: Lowering the side rail risks the unconscious client falling; it should remain up for safety.