ATI PN fundamentals 2023 Exam 2 | Nurselytic

Questions 59

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ATI PN fundamentals 2023 Exam 2 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: A

Rationale: Removing dentures is a nursing task to ensure proper handling, requiring intervention.

Question 2 of 5

A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer: B,C,E

Rationale: B: Gloves ensure infection control. C: Side prick is correct technique. E: Iodine disinfects; A risks hemolysis, D impedes flow.

Question 3 of 5

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

Correct Answer: B

Rationale: Closing the door reduces noise, promoting a sleep-conducive environment.

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

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.
Unlock and remove the inner cannula.
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.

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

Rationale: A,B,C,D,E sequence prepares solution, removes cannula, cleans it, and then cleans stoma, maintaining sterility.

Question 5 of 5

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Keeping the bag below waist level prevents urine backflow, reducing infection risk.

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