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 and is concerned that the client might have a fecal impaction. Which of the following is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Have you had small liquid stools?' is critical as small liquid stools can indicate fecal impaction, where liquid leaks around the impacted mass, making it the most direct question.
Question 3 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.
Question 4 of 5
A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Performing a bladder scan first assesses bladder volume, confirming the need for catheterization and avoiding unnecessary procedures.
Question 5 of 5
A nurse in an acute care setting is documenting postmortem care in a client's medical record. Which of the following information should the nurse include in the documentation?
Correct Answer: C
Rationale: The release of personal belongings form ensures proper accounting and handover of the client's belongings, providing a clear record essential for postmortem documentation.