ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?

A. Tortuous veinsB. Clammy skinC. BradycardiaD. Calf swelling

Correct Answer: D

Rationale: Calf swelling is a classic sign of DVT, 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 begins following a terminal diagnosisB. A client whose grief response is repressedC. A client whose grief response is triggered by a secondary lossD. A client whose grief response leads to self-destructive behaviors

Correct Answer: D

Rationale: Exaggerated grief involves extreme, self-destructive reactions beyond normal grieving.

Question 3 of 5

A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

A. Administer prescribed diuretics in the evening.B. Use overhead lighting when checking equipment.C. Keep the door to the client's room closed.D. Provide the client with snug-fitting nightwear.

Correct Answer: C

Rationale: A closed door reduces noise, promoting sleep.

Question 4 of 5

A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

A. Play music in the client's room.B. Keep the client's room well lit.C. Ensure that the client's room is kept at a cool temperature.D. Encourage the client to abstain from distracting activities.

Correct Answer: A

Rationale: Music is a nonpharmacological method to distract from pain and promote relaxation.

Question 5 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 screeningB. To an insurance agency in regard to a life insurance policyC. To a family member when the client is not availableD. To a medical interpreter service on behalf of a client

Correct Answer: D

Rationale: Disclosure to an interpreter is permitted under HIPAA to facilitate care.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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