ATI PN Fundamentals of Nursing 2020 with NGN Exam 2

Extract:

Question 1 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 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 mealtime C. A client's bed alarm is malfunctioning D. 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 caring for a client who is terminally ill and has a do-not-resuscitate order on his medical record. The client asks, 'What should I do if I have difficulty breathing?' Which of the following responses should the nurse make?

A. Call me so that I can help you change your position. B. Try to close your eyes and get some sleep. C. It is common for breathing to become more difficult as time goes on. D. Therapy choices are limited for clients who do not want resuscitation.

Correct Answer: A

Rationale: Repositioning can ease breathing, offering practical help. Sleep doesn't address it, stating it's common lacks action, and limiting therapy dismisses comfort options.

Question 4 of 5

A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?

A. Avoid entering the client's room unless requested during the night. B. Turn off alarms on bedside monitoring equipment. C. Conduct staff communications away from the client's room. D. Turn on the client's TV to distract from hallway noise.

Correct Answer: C

Rationale: Moving staff talks reduces noise effectively. Avoiding checks risks safety, turning off alarms is unsafe, and TV adds noise.

Question 5 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I'll listen to my favorite music to take my mind off the pain. B. I'll think about my grandfather's farm to reduce pain. C. I'll use focused breathing to control my pain. D. I'll learn to notice the sensation of muscle tension.

Correct Answer: B

Rationale: Guided imagery uses mental scenarios like a farm to reduce pain perception. Music distracts, breathing and tension awareness are different techniques.

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

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