ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent healthcare-associated infections for these clients? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Washing hands after removing gloves, using antimicrobial hand gel after refilling a client's water pitcher, and cleaning the stethoscope with an antimicrobial wipe are all effective actions to prevent infections. Placing immunocompromised clients together increases infection risk.
Question 2 of 5
A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed?
Correct Answer: B
Rationale: Tightening stomach muscles stabilizes the core, supporting the spine and preventing back strain when turning an immobile client.
Question 3 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.
Question 4 of 5
A nurse is caring for a client who is postoperative following a mastectomy. The client states, 'I can barely look at myself in the mirror.' The nurse should identify that the client is experiencing which of the following?
Correct Answer: D
Rationale: The client's reaction reflects actual loss of a breast, a tangible change affecting self-image, unlike the other grief types.
Question 5 of 5
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures?
Correct Answer: B
Rationale: A paracentesis is an invasive procedure requiring informed consent due to risks like infection or bleeding, unlike the other routine interventions.