ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 of 5
A nurse is caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Signing an AMA form documents the client's informed decision to leave against advice.
Question 2 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?
Correct Answer: C
Rationale: This response protects confidentiality under HIPAA by not disclosing client presence.
Question 3 of 5
A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Engaging the client about their thoughts addresses distraction and builds rapport.
Question 4 of 5
A nurse is caring for an older adult client who has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moisture barrier ointment protects skin from breakdown due to fecal exposure.
Question 5 of 5
A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Exploring mealtime details provides insight into the client’s eating issues.