ATI PN Fundamentals 2023 Exam 4

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 reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

A. Place a thick layer of stool on the specimen card. B. Urinate prior to collecting the stool specimen. C. Discontinue supplements containing vitamin C 24 hours before the test. D. Refrain from consuming pork 7 days before the test.

Correct Answer: C

Rationale: Vitamin C can cause false negatives, so discontinuing it ensures accuracy.

Question 3 of 5

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

A. Place the specimen in a clean specimen cup. B. Remove 45 mL of urine from the catheter with a syringe. C. Clamp the catheter tubing below the needleless port. D. Clamp the catheter tubing for 60 min.

Correct Answer: C

Rationale: Clamping below the port ensures a fresh, uncontaminated sample.

Question 4 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 5 of 5

A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I'm glad to have the opportunity to choose what kind of care I receive while I still can. B. I can't change my mind about the care I will receive once I sign my living will. C. Once I fill out my living will, there will be a 1-month delay before it is legally binding. D. If I want life support, I'll need to sign a separate consent form first.

Correct Answer: A

Rationale: This reflects understanding that advance directives allow care choices while capable.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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