ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?

A. Return the medication to the medication cabinet. B. Notify the provider of the client's refusal. C. Document the refusal in the client's medical record. D. Inform the client of the potential consequences of their refusal

Correct Answer: D

Rationale: Informing about consequences first respects autonomy and may encourage compliance.

Question 2 of 5

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

A. Discontinue supplements containing vitamin C 24 hr before the test. B. Refrain from consuming pork 7 days before the test. C. Place a thick layer of stool on the specimen card. D. Urinate prior to collecting the stool specimen.

Correct Answer: D

Rationale: Urinating first prevents urine contamination of the stool specimen.

Question 3 of 5

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

A. He is here in the hospital, but I cannot tell you anything else. B. I cannot confirm or deny that we have a client by that name. C. The client's condition is stable right now. D. I will tell him you called.

Correct Answer: B

Rationale: Protecting confidentiality under HIPAA requires not confirming client presence.

Question 4 of 5

A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?

A. Assign different nurses to provide care for clients each day. B. Restrict the number of visitors for clients. C. Offer the clients many choices regarding care. D. Turn on loud music in client care areas.

Correct Answer: B

Rationale: Restricting visitors reduces noise and stress in an acute care setting.

Question 5 of 5

A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

A. I will gently restrain him during seizures. B. I will loosen his clothing during seizures. C. I will insert a washcloth in his mouth during seizures. D. I will turn him on his back during seizures.

Correct Answer: B

Rationale: Loosening clothing ensures airway safety and comfort during a seizure.

ATI PN Fundamentals 2023 | Nurselytic

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