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 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.
Question 3 of 5
A nurse is caring for a client who reports difficulty sleeping at home. Which of the following recommendations should the nurse provide to promote a restful home sleep environment?
Correct Answer: A
Rationale: Perform muscle relaxation before bedtime.' is a helpful recommendation. Muscle relaxation techniques can help calm the body and mind, making it easier to fall asleep.
Question 4 of 5
A nurse is caring for a client who has chronic kidney disease. The nurse should identify that which of the following findings is the priority to report to the provider?
Correct Answer: D
Rationale: Low urine output (60 mL over 3 hours) is a critical finding in chronic kidney disease, indicating potential acute kidney injury or worsening function, requiring immediate attention.
Question 5 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.