ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the first action the nurse should take?
Correct Answer: A
Rationale: Measuring gastric residual before each feeding assesses tolerance and prevents complications like aspiration, making it the priority action.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of cancer. Which of the following actions by the nurse maintains the client's confidentiality?
Correct Answer: D
Rationale: Providing information to another nurse at shift change is necessary for care continuity and is an appropriate disclosure within the healthcare team, maintaining confidentiality.
Question 3 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.
Question 4 of 5
A nurse is assisting with the admission of an older adult client to an acute care facility. The client states that they are afraid to go to sleep, fearing they will not wake up. Which of the following is a therapeutic response the nurse should make?
Correct Answer: D
Rationale: Describe your concerns about sleeping to me.' encourages the client to express their fears, allowing the nurse to provide tailored emotional support.
Question 5 of 5
A nurse is providing care to four clients in an acute care setting. The nurse should identify that which of the following client statements presents an ethical dilemma?
Correct Answer: B
Rationale: Please don't tell my doctor, but I am taking my partner's oxycodone.' presents an ethical dilemma due to illegal and harmful behavior, balancing confidentiality with duty to protect.