ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?

A. Verify the bilirubin level of the tube contents.B. Check the pH level of gastric contents.C. Auscultate for air insufflation.D. Request a chest x-ray.

Correct Answer: D

Rationale: A chest x-ray visually confirms tube placement, the most reliable method.

Question 2 of 5

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Place one hand over the other against the part of the gown covering their upper body.B. Clasp their hands together in a relaxed position behind their body at their waist.C. Keep their arms at the sides of their body with their hands in a relaxed position.D. Interlock their fingers and hold their hands away from their body above their waist.

Correct Answer: D

Rationale: Interlocking fingers above the waist prevents contamination of sterile gloves.

Question 3 of 5

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

A. Place an identification tag on the outside of the client's shroud.B. Ask the assistive personnel to document the client's time of death.C. Wear sterile gloves when cleaning the client's body.D. Remove the client's dentures and give them to the client's family.

Correct Answer: A

Rationale: An ID tag ensures proper identification for autopsy purposes.

Question 4 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Avoid placing toilet tissue in the bedpan after defecation.B. Urinate after the specimen collection.C. Place 1.3 cm (0.5 in) of formed stool into a culture tube.D. Keep the specimen in a warm area.

Correct Answer: A

Rationale: Avoiding toilet tissue prevents contamination, ensuring specimen integrity.

Question 5 of 5

A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?

A. He appears anxious about the transfer.B. His partner has been visiting.C. He is voiding adequately.D. He is allergic to sulfa.

Correct Answer: D

Rationale: Allergy information is critical to prevent adverse reactions during care.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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