Questions 34

ATI LPN

ATI LPN Test Bank

VATI PN Comprehensive Predictor 2020 Questions

Extract:


Question 1 of 5

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

Correct Answer: B

Rationale: Elbow restraints prevent the infant from touching the surgical site.

Question 2 of 5

A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?

Correct Answer: D

Rationale: Hyperkalemia occurs due to cell destruction releasing potassium in burns.

Question 3 of 5

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Oral care every 2 hours prevents ventilator-associated pneumonia.

Question 4 of 5

A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. Which of the following client statements indicates understanding of the teaching?

Correct Answer: B

Rationale: Heat application reduces stiffness and pain in osteoarthritis, indicating understanding.

Question 5 of 5

A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?

Correct Answer: A

Rationale: Raising the head to 30 degrees reduces livor mortis pooling, improving appearance for viewing.

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