ATI LPN
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the worse take to determine the client's level of pain?
Correct Answer: C
Rationale: The FLACC scale assesses pain in nonverbal patients via observable signs, ideal for language barriers. FACES requires language, boards may not work, and interpreters aren't the best for pain assessment.
Question 2 of 5
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
Correct Answer: C
Rationale: Whistling (feedback) often results from high volume; lowering it helps. Turning off doesn't fix it, alcohol or water can damage the device.
Question 3 of 5
A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gentle twisting navigates resistance safely. Inflating early, adding gel, or angling won't resolve it.
Question 4 of 5
A nurse is performing eye care for a client who is in a coma. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: B,D,E
Rationale: B prevents dryness if eyelids don't close, D maintains moisture, and E lubricates to protect the cornea. A risks contamination, and C is too harsh for eyes.
Question 5 of 5
A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Twisting gently overcomes resistance safely. Other actions don't address the blockage or are premature.