ATI PN Fundamentals Updated 2023

Extract:

Question 1 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. Stand on the client's stronger side when moving the client into the chair. B. Raise the bed to waist level before moving the client. C. Flex hips and knees when assisting the client to a standing position. D. Pivot on the foot farthest from the bed when assisting the client into the chair.

Correct Answer: C

Rationale: Flexing hips and knees helps the client use their stronger leg muscles and maintain balance. Standing on the stronger side, raising the bed too high, or pivoting incorrectly can increase fall risk.

Question 2 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client reports being dissatisfied with the temperature of the meals provided. B. A client receives burns from a heating pad. C. A client becomes disoriented and falls out of bed. D. A client is unable to afford the physical therapy that the provider recommends. E. A client's visitor's getting dizzy and fainting in the client's room

Correct Answer: B,C,E

Rationale: Burns from a heating pad, a fall due to disorientation, and a visitor fainting are incidents requiring reports due to injury or unexpected events. Meal dissatisfaction and affordability issues do not typically warrant incident reports.

Question 3 of 5

A nurse is assisting with the postmortem care of a client whose partner is at the bedside. Which of the following actions should the nurse take?

A. Direct the partner to leave and return once postmortem care is complete. B. Instruct the partner not to touch the client's body. C. Place the client's personal belongings in a safe location in the facility. D. Ask the partner about any rituals they would like to be performed.

Correct Answer: D

Rationale: Asking the partner about rituals respects their cultural or personal preferences, supporting their grieving process. Forcing them to leave or restricting touch is insensitive, and belongings are a secondary concern.

Question 4 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 5 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.

ATI PN Fundamentals Updated 2023 | Nurselytic

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