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 caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

A. Request a prescription renewal from the provider every 36 hr.B. Check the client's range of motion every 6 hr.C. Secure the restraints with a square knot.D. Make sure two fingers fit under the restraints.

Correct Answer: D

Rationale: Ensuring two fingers fit prevents excessive tightness and circulation issues.

Question 3 of 5

A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

A. Determine if the client has a support system.B. Schedule a mental health consult for the client.C. Provide the client with information about coping strategies.D. Encourage the client to attend a support group.

Correct Answer: A

Rationale: Assessing the support system first identifies resources to address ineffective coping.

Question 4 of 5

A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

A. You should receive a breast examination from your provider each year after age 30.B. You should start receiving mammograms as early as age 40.C. You should receive a breast ultrasound every 3 years after age 50.D. You should start performing monthly breast self-examinations at age 35.

Correct Answer: A

Rationale: Annual clinical breast exams are recommended starting at age 30 for early detection.

Question 5 of 5

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A. The client verbalizes regret about never marrying.B. The client has poorly fitting dentures.C. The client has no living family.D. The client is sedentary throughout most of the day.

Correct Answer: D

Rationale: Sedentary lifestyle is a priority as it poses immediate health risks like thrombosis or muscle atrophy.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN