ATI PN Fundamentals of Nursing 2020 with NGN Exam 2

Extract:

Question 1 of 5

A nurse is caring for a client who expresses concern about age gain with age. The nurse should inform the client that weight gain can result from which of the following factors?

A. Increase in fluid requirementsB. Decrease in vitamin intakeC. Increase in protein requirementsD. Decrease in muscle mass

Correct Answer: D

Rationale: Decreased muscle mass lowers metabolism, leading to weight gain. Fluid, vitamins, and protein don't directly cause it.

Question 2 of 5

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about incident reporting. The nurse should identify that it is necessary to complete an incident report for which of the following situations?

A. A family member is napping in the client's room.B. A client refuses to eat at mealtimeC. A client's bed alarm is malfunctioningD. An assistive personnel is late for the upcoming shift

Correct Answer: C

Rationale: A malfunctioning bed alarm poses a safety risk, necessitating a report. Napping, refusal to eat, and lateness don't typically require one.

Question 3 of 5

A nurse is reinforcing teaching with a newly hired nurse about cultural sensitivity during death and dying. Which of the following information should the nurse include?

A. Devout practitioners of Buddhism prefer a ritual bath prior to burial.B. Devout practitioners of Judaism prefer to be buried 5 days after death.C. Devout practitioners of Hinduism prefer to be buried after death and not cremated.D. Devout practitioners of Islam prefer to have their heads turned toward Mecca at death.

Correct Answer: D

Rationale: Devout practitioners of Islam prefer to have their heads turned toward Mecca at death, aligning with Islamic funeral rites where the body is positioned to face the Qiblah (direction of the Kaaba in Mecca). Buddhism varies widely in practices, Judaism prefers burial within 24 hours, and Hinduism typically involves cremation, making D the correct choice.

Question 4 of 5

A nurse is caring for a client who fell while walking to the bathroom. Which of the following actions should the nurse take when completing the incident report?

A. Use direct quotes made by the client to describe the incident.B. Make a notation in the client's medical record that an incident report was completed.C. Draw a conclusion regarding the cause of the incident.D. Place a copy of the incident report in the client's medical record.

Correct Answer: A

Rationale: Direct quotes provide an objective account. Noting in the record, concluding causes, or filing copies mix purposes and may affect legal status.

Question 5 of 5

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

A. Inflate the catheter's balloon.B. Twist the catheter gently.C. Apply lidocaine gel to the urethra.D. Lower the penis to a 45Â° angle.

Correct Answer: B

Rationale: Twisting gently overcomes resistance safely. Other actions don't address the blockage or are premature.

ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 | Nurselytic

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