ATI PN Fundamentals Updated 2023

Extract:

Question 1 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 2 of 5

A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, 'I don't know what to do because he's not eating.' Which of the following responses should the nurse make?

A. He may need a feeding tube.B. Why do you think he's not eating?C. I'm sure it's nothing serious and his appetite will return soon.D. Tell me more about what happens at mealtime.

Correct Answer: D

Rationale: Asking about mealtime elicits more information empathetically, aiding assessment. Suggesting a tube is premature, 'why' may seem accusatory, and dismissing the issue invalidates concerns.

Question 3 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 4 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 5 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Inject air into the ampule prior to drawing the medication into a syringe.B. Cleanse the tip of the ampule with an alcohol swab after opening.C. Use a filter needle to aspirate the medication.D. Add 0.5 mL of diluent to the medication.

Correct Answer: C

Rationale: Using a filter needle prevents glass particles from entering the syringe. Injecting air, cleansing after opening, or adding diluent are incorrect for ampule medication administration.

ATI PN Fundamentals Updated 2023 | Nurselytic

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