PN Fundamentals 2023 | Nurselytic

Questions 65

ATI LPN

ATI LPN Test Bank

PN Fundamentals 2023 Questions

Extract:


Question 1 of 5

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer: D

Rationale: Dentures should remain in place to maintain facial structure for family visitation.

Question 2 of 5

A nurse is assisting with the care of a client who has cancer that has metastasized. The client has decided to discontinue chemotherapy treatment. Which of the following responses should the nurse make?

Correct Answer: B

Rationale: Encouraging discussion with loved ones shows empathy and supports the client's autonomy.

Question 3 of 5

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

Correct Answer: B

Rationale: A communication board aids clients with expressive aphasia in conveying needs, enhancing teaching effectiveness.

Question 4 of 5

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?

Order the Items

Source Container

Scrub the inside and outside of the inner cannula with a small brush.
Wipe the inside of the inner cannula with a folded pipe cleaner.
Cleanse the stoma site with 0.9% sodium chloride solution.
Unlock and remove the inner cannula.
Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

Correct Answer: E,D,A,B,C

Rationale: E: Prepare solution. D: Remove cannula. A: Scrub cannula. B: Wipe cannula. C: Cleanse stoma maintains sterility.

Question 5 of 5

A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Gently twisting the catheter may navigate past resistance, often due to the prostatic urethra.

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