ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

A. Obtain urine from the drainage bag if a urinary specimen is required. B. Use a catheter securing device to hold the catheter in place. C. Change the catheter bag every 3 days and as needed. D. Position the drainage bag higher than the client's bladder.

Correct Answer: B

Rationale: A securing device prevents catheter movement and reduces infection risk.

Question 2 of 5

A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?

A. Drink citrus juice with meals. B. Train the bladder by voiding every 5 hr. C. Perform pelvic-muscle exercises. D. Apply adult diapers at bedtime.

Correct Answer: C

Rationale: Pelvic-muscle exercises (Kegels) strengthen muscles to reduce incontinence.

Question 3 of 5

A nurse is participating in a group discussion about complicated grief associated with loss. Which of the following should the nurse identify as an example of exaggerated grief?

A. A client whose grief response begins following a terminal diagnosis B. A client whose grief response is repressed C. A client whose grief response is triggered by a secondary loss D. A client whose grief response leads to self-destructive behaviors

Correct Answer: D

Rationale: Exaggerated grief involves extreme, self-destructive reactions beyond normal grieving.

Extract:

Provider’s Prescriptions
Nurses' Notes
Medical History
Day 1, 1030:

Amoxicillin 500 mg PO every 8 hr Metoprolol 50 mg PO daily
Urine culture and sensitivity
Day 3, 1700:
Metronidazole 250 mg PO three times daily
Obtain stool culture and sensitivity to test for Clostridium difficile.

Question 4 of 5

A nurse is assisting in the care of a client who has a urinary tract infection. The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

A. Recommend increasing the dose of metoprolol B. Clarify the prescription for amoxicillin with the provider. C. Ensure the client wears a surgical mask when they are outside their room. D. Request a prescription for an antiemetic medication E. Place the client on contact precautions.

Correct Answer: B, D

Rationale: B: The nurse should clarify the amoxicillin prescription if there's any ambiguity in dosage or administration. D: An antiemetic may be needed if the client experiences nausea from antibiotics or infection.

Extract:

Question 5 of 5

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

A. Provide oral care to the client once every 8 hr. B. Reposition the client once every 4 hr. C. Place the head of the client's bed flat. D. Use a fan to circulate air in the client's room.

Correct Answer: B

Rationale: Repositioning helps relieve dyspnea by improving lung expansion and comfort.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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