ATI LPN
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is pulling on his NG tube. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assessing comfort identifies the cause (e.g., pain, anxiety), guiding next steps. Sedation or restraints are not first actions, and documentation follows assessment.
Question 2 of 5
A nurse is caring for a who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the worse take to determine the client's level of pain?
Correct Answer: C
Rationale: The FLACC scale assesses pain in nonverbal patients via observable signs, ideal for language barriers. FACES requires language, boards may not work, and interpreters aren't the best for pain assessment.
Question 3 of 5
A nurse is performing eye care for a client who is in a coma. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B prevents dryness if eyelids don't close, D maintains moisture, and E lubricates to protect the cornea. A risks contamination, and C is too harsh for eyes.
Question 4 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: B
Rationale: Measuring intake/output is a routine task suitable for an AP. Checking IV sites, teaching, and pain assessment require nursing judgment.
Question 5 of 5
A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Hearing may persist in unresponsive states, so C promotes connection. Opioids adjust, not restrict; large meals may not suit; electric blankets pose risks.