Extract:

Question 1 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma is draining a small amount of liquid stool.B. The stoma protrudes slightly from the abdomen.C. The stoma appears dark in color.D. The stoma bleeds lightly when touched.

Correct Answer: C

Rationale: A dark stoma suggests ischemia or necrosis, requiring urgent reporting.

Question 2 of 5

A nurse is participating in a group discussion about complicated grief associated with loss. Which of the following should the nurse identify as an example of exaggerated grief?

A. A client whose grief response is repressed.B. A client whose grief response begins following a terminal diagnosis.C. A client whose grief response leads to self-destructive behaviors.D. A client whose grief response is triggered by a secondary loss.

Correct Answer: C

Rationale: Exaggerated grief involves intense, harmful reactions like self-destructive behaviors, impairing function.

Question 3 of 5

A home health nurse is visiting a client who has advanced Alzheimer's disease. The client's partner states, 'I miss being able to go places with my friends.' Which of the following is an appropriate response by the nurse?

A. We can discuss this when you're not feeling overwhelmed.B. Have you tried taking your partner with you when you go out?C. Tell me more about your expectations.D. I understand how you feel. I've had a relative go through the same thing.

Correct Answer: C

Rationale: Asking about expectations opens dialogue and shows empathy, supporting the partner's needs.

Question 4 of 5

A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?

A. To an employer for a pre-employment screening.B. To a family member when the client is not available.C. To a medical interpreter service on behalf of a client.D. To an insurance agency in regard to a life insurance policy.

Correct Answer: C

Rationale: Disclosure to an interpreter is permissible under HIPAA to facilitate care, ensuring accurate communication.

Question 5 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.

Nurselytic

ATI LPN

ATI LPN

ATI PN Fundamentals 2023 Exam 4 Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

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