ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?
Correct Answer: A
Rationale: Using warm water when bathing helps maintain skin integrity by ensuring the skin is clean without causing excessive dryness or irritation. Warm water is gentle on the skin and helps in maintaining its natural moisture balance.
Question 2 of 5
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures?
Correct Answer: B
Rationale: A paracentesis is an invasive procedure requiring informed consent due to risks like infection or bleeding, unlike the other routine interventions.
Question 3 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?
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 4 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Emptying the drainage bag when it is three-fourths full prevents backflow and reduces infection risk, making it the correct action for catheter care.
Question 5 of 5
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent healthcare-associated infections for these clients? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Washing hands after removing gloves, using antimicrobial hand gel after refilling a client's water pitcher, and cleaning the stethoscope with an antimicrobial wipe are all effective actions to prevent infections. Placing immunocompromised clients together increases infection risk.