ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client following a lumbar puncture. The nurse should identify which of the following findings as a potential adverse effect of this procedure?
Correct Answer: C
Rationale: Headache is a potential adverse effect of a lumbar puncture. This is caused by the leakage of cerebrospinal fluid (CSF) through the puncture site, leading to a decrease in CSF pressure. This drop in pressure can cause a headache, particularly when the client sits or stands up.
Question 2 of 5
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?
Correct Answer: A
Rationale: Using warm water when bathing helps maintain skin integrity by ensuring the skin is clean without causing excessive dryness or irritation. Warm water is gentle on the skin and helps in maintaining its natural moisture balance.
Question 3 of 5
A nurse is collecting data from a client who is 1 day postoperative following abdominal surgery. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Tenderness and warmth in the calf are the priority findings to report. These symptoms raise concern about the possibility of deep vein thrombosis (DVT), a serious complication after surgery. DVT can lead to a pulmonary embolism, a life-threatening condition, requiring immediate assessment.
Question 4 of 5
A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: It must be difficult facing this type of surgery.' acknowledges the client's feelings and provides emotional support, which is crucial in reducing anxiety and promoting a sense of understanding and empathy.
Question 5 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.