ATI PN Fundamentals 2020 with NGN

Extract:

Question 1 of 5

A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate?

A. Evaluate the client's concerns and communicate them to the provider.B. Contact the unit's social worker to report the client's refusal.C. Ask the client's partner to find out why the client has refused the procedure.D. Explain the necessity of the procedure to the client.

Correct Answer: A

Rationale: Advocacy involves representing the client's wishes by assessing concerns and communicating them to the provider, respecting autonomy.

Question 2 of 5

A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse take first?

A. Determine the client's knowledge of the use of the peak flow meter.B. Show the client a video demonstration of peak flow meter use.C. Observe the client using the peak flow meter.D. Emphasize the importance of the daily use of the peak flow meter.

Correct Answer: A

Rationale: Assessing the client's current knowledge first guides effective teaching tailored to their needs.

Question 3 of 5

The nurse is taking care of a post-surgical patient and notes the incision is clean and dry, with sutures intact. The nurse further assesses that the wound is healing by:

A. Second intention.B. Fourth intention.C. Third intention.D. First intention.

Correct Answer: D

Rationale: First intention healing occurs with clean, sutured incisions, minimizing scarring.

Question 4 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client is unable to afford the physical therapy that the provider recommends.B. A client reports being dissatisfied with the temperature of the meals provided.C. A client's visitor becomes dizzy and faints in the client's room.D. A client receives burns from a heating pad.E. A client becomes disoriented and falls out of bed.

Correct Answer: C,D,E

Rationale: C: Visitor injury requires reporting. D: Client injury from equipment is reportable. E: Fall incidents must be documented for safety.

Question 5 of 5

A nurse in a provider's office performs a fecal occult blood test with a positive result on a client. Which of the following clients may have a false positive result?

A. A client who has a venous stasis ulcer.B. A client who has peripheral hematomas.C. A client who underwent a barium swallow study.D. A client who takes an iron supplement.

Correct Answer: D

Rationale: Iron supplements can cause a false positive fecal occult blood test by darkening stool, mimicking blood.

ATI PN Fundamentals 2020 with NGN | Nurselytic

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