ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?
Correct Answer: D
Rationale: In emergencies, implied consent allows life-saving procedures when delaying could harm the client.
Question 2 of 5
A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Dentures should remain in place to maintain facial structure for family visitation.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?
Correct Answer: C
Rationale: Conducting staff communications away from the client's room reduces noise and promotes a restful environment.
Question 4 of 5
A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?
Correct Answer: B
Rationale: Dangling legs allows gradual blood pressure adjustment, preventing orthostatic hypotension.
Question 5 of 5
A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Holding the syringe 2.5 cm above ensures effective irrigation without contamination.