ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: A thready pulse indicates poor circulation and reduced fluid volume due to fluid loss from vomiting and diarrhea, making it a significant finding for fluid volume deficit.
Question 2 of 5
A nurse is caring for a client who has dysphagia following a stroke. Which of the following interventions should the nurse use when feeding the client?
Correct Answer: D
Rationale: Instructing the client to tilt their head forward facilitates safer swallowing, reducing aspiration risk in dysphagia.
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?
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 preparing to remove staples from a client's incision. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Removing the staple from the skin only after both sides are visible ensures proper removal without causing unnecessary trauma or discomfort to the patient, allowing for a smooth and controlled extraction.
Question 5 of 5
A nurse is contributing to the plan of care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preferences?
Correct Answer: C
Rationale: Islamic dietary laws prohibit pork consumption, so asking 'Do you consume pork products?' ensures the nurse respects the client's religious dietary preferences.