ATI PN Fundamentals 2020 NGN Exam 1

Extract:

Question 1 of 5

A nurse is caring for a client and is concerned that the client might have a fecal impaction. Which of the following is the most important question for the nurse to ask?

A. What types of foods have you been eating?'B. Are you using stool softeners or laxatives?'C. Have you been passing gas?'D. Have you had small liquid stools?'

Correct Answer: D

Rationale: Have you had small liquid stools?' is critical as small liquid stools can indicate fecal impaction, where liquid leaks around the impacted mass, making it the most direct question.

Question 2 of 5

A nurse is caring for a client who reports difficulty sleeping at home. Which of the following recommendations should the nurse provide to promote a restful home sleep environment?

A. Perform muscle relaxation before bedtime.'B. Exercise vigorously 1 hour prior to going to bed.'C. Drink a cup of hot chocolate at bedtime.'D. Change the time you go to sleep each day.'

Correct Answer: A

Rationale: Perform muscle relaxation before bedtime.' is a helpful recommendation. Muscle relaxation techniques can help calm the body and mind, making it easier to fall asleep.

Question 3 of 5

A nurse is reinforcing teaching with the caregiver of a client who is near death. Which of the following instructions should the nurse provide?

A. Encourage meals at least three times daily.'B. Keeping the room warm will help them breathe easier.'C. Help them onto their left side if they are experiencing nausea.'D. Provide mouth care to them at least every 2 hours.'

Correct Answer: D

Rationale: Providing mouth care every 2 hours is appropriate as it keeps the client's mouth moist and clean, enhancing comfort near the end of life when oral hygiene may be difficult to maintain.

Question 4 of 5

A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?

A. A client who plans to leave the facility against medical advice.B. A client who informs the nurse that they have made their funeral arrangements.C. A client who tells the nurse that the night shift nurse did not bring their medication.D. A client who has just experienced the death of their child.

Correct Answer: D

Rationale: Silence supports a client grieving a child's death, offering space to process intense emotions, unlike the other scenarios needing active engagement.

Question 5 of 5

A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the first action the nurse should take?

A. Measure the client's gastric residual before each feeding.B. Change the bag and tubing every 24 hr.C. Document intake and output.D. Flush the tubing with 30 mL of water after each feeding.

Correct Answer: A

Rationale: Measuring gastric residual before each feeding assesses tolerance and prevents complications like aspiration, making it the priority action.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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