ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a mastectomy. The client states, 'I can barely look at myself in the mirror.' The nurse should identify that the client is experiencing which of the following?
Correct Answer: D
Rationale: The client's reaction reflects actual loss of a breast, a tangible change affecting self-image, unlike the other grief types.
Question 2 of 5
A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Performing a bladder scan first assesses bladder volume, confirming the need for catheterization and avoiding unnecessary procedures.
Question 3 of 5
A nurse is caring for a client who has a new prescription for oxygen at 7 L/min via a simple face mask. Which of the following actions should the nurse take to ensure client safety?
Correct Answer: D
Rationale: Attaching a humidifier prevents airway drying with high-flow oxygen, enhancing safety and comfort via a simple face mask.
Question 4 of 5
A nurse is documenting client care in a client's electronic health record. Which of the following entries should the nurse include in the documentation?
Correct Answer: A
Rationale: Documenting 'Complained about having incisional pain.' tracks pain levels and interventions, crucial for care continuity.
Question 5 of 5
A nurse is evaluating the crutch-walking technique of a client who is required to keep weight off their right leg. Which of the following is the proper crutch gait for this client?
Correct Answer: B
Rationale: The three-point gait keeps weight off one leg by moving both crutches and the affected leg together, followed by the unaffected leg.