ATI PN Comprehensive Predictor 2023 - Exam 1

Extract:

A nurse is assisting with the care of a client. Laboratory Results
1100:
Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in).

Question 1 of 5

A nurse is assisting with the care of a client. Laboratory Results 1100: Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in). Select the 4 responsibilities the nurse has in relation to the client's advance directives.

A. Provide the client with written information about advance directives B. Instruct the client that an advance directive is a legal document and must be honored by care providers C. Initiate a power of attorney for health care document D. Communicate advance directives status via the medical record and shift report E. Document that the provider discussed-do-not-resuscitate status with the client F. Inform the client that an advance directive discontinues further care

Correct Answer: A,B,C,D

Rationale: A: Educating with written info is key. B: Explaining its legal status ensures understanding. C: Initiating a power of attorney aids proxy designation. D: Communication ensures care continuity. E is specific to DNR, not broad directives, and F is falseâ€”directives guide, not stop, care.

Extract:

Question 2 of 5

A nurse is reviewing client confidentiality with other staff members. The nurse should identify that which of the following actions is an example of protecting client confidentiality?

A. Giving change-of-shift report to a nurse outside the client's room B. Discussing a client's prognosis with an assistive personnel who is caring for the client C. Writing a client's diagnosis on the message board in the client's room D. Discarding worksheets containing client information in a wastebasket

Correct Answer: A

Rationale: Giving report outside the room minimizes overhearing, protecting confidentiality. Discussing prognosis with AP may breach need-to-know, writing on a board exposes info, and discarding without shredding risks access.

Question 3 of 5

A nurse is assisting with postmortem care for a client who was a devout follower of Islam. Which of the following actions should the nurse take?

A. Allow a family member of the client to stay with the client's body until burial B. Position the client's head toward Mecca C. Allow a family member to stay with the client's body for 8 hr D. Position the client's head northward

Correct Answer: B

Rationale: Positioning the head toward Mecca respects Islamic burial customs. Family presence varies by preference, not a fixed 8 hr, and northward positioning isn't specific to Islam.

Question 4 of 5

A nurse is reinforcing teaching about breastfeeding with the mother of a full-term newborn who is 5 days old. Which of the following statements by the mother indicates an understanding of the teaching?

A. My baby should breastfeed 5 to 10 minutes on each breast B. I should not wake my baby during the night to breastfeed C. I should keep my baby on a strict feeding schedule D. I should have my baby latch on to my nipple and areola during feeding

Correct Answer: D

Rationale: A proper latch includes nipple and areola for effective feeding and milk production. Fixed times (5-10 min), avoiding night feeds, and strict schedules don't align with demand feeding needs.

Question 5 of 5

A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?

A. Assign the client to a negative pressure airflow room B. Have visitors remain at least 0.91 m (3 feet) away from the client C. Initiate contact precautions for the client D. Administer aspirin if the client develops a fever

Correct Answer: A,C

Rationale: A: Negative pressure prevents airborne spread of varicella. C: Contact precautions limit direct transmission. Distance alone (
B) isn't enough, and aspirin (
D) risks Reye's syndrome.

ATI PN Comprehensive Predictor 2023 - Exam 1 | Nurselytic

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