ATI PN Fundamentals 2020 NGN Exam 1

Extract:

Question 1 of 5

A nurse is assisting with the admission of an older adult client to an acute care facility. The client states that they are afraid to go to sleep, fearing they will not wake up. Which of the following is a therapeutic response the nurse should make?

A. I will have the nursing staff check on you frequently during the night.' B. You are right to be afraid. This is a new place for you.' C. I will give you your prescribed sleeping medication to help you fall asleep.' D. Describe your concerns about sleeping to me.'

Correct Answer: D

Rationale: Describe your concerns about sleeping to me.' encourages the client to express their fears, allowing the nurse to provide tailored emotional support.

Question 2 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?

A. I might file a lawsuit because of how my surgery went.' B. Please don't tell my doctor, but I am taking my partner's oxycodone.' C. Please don't get me out of bed this morning, it hurts too much.' D. I don't want to take my medicine. It makes me sick to my stomach.'

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 3 of 5

A nurse in a long-term care facility is collecting admission data from a client who uses a hearing aid. Which of the following actions should the nurse take?

A. Sit beside the client. B. Speak slowly and loudly to the client. C. Dim the lights in the client's room. D. Choose a private room for the interview.

Correct Answer: D

Rationale: Choosing a private room minimizes background noise, ensuring effective communication for a client with a hearing aid.

Question 4 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?

A. Count the client's radial and apical pulses simultaneously with another nurse. B. Calculate the client's pulse for 30 seconds and multiply by 2. C. Assist the client to a side-lying position. D. Auscultate the area of the client's chest over the Erb's point.

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 5 of 5

A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?

A. You will need to sign a consent form before we begin the procedure.' B. I will place a gel pad directly above your pubic area before I place the probe.' C. You will need to hold your urine for 1 hour prior to the procedure.' D. You will receive a contrast dye through an IV catheter prior to the scan.'

Correct Answer: B

Rationale: I will place a gel pad directly above your pubic area before I place the probe.' ensures proper ultrasound transmission for accurate bladder scan results.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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ATI LPN

ATI LPN