ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is planning to perform intermittent urinary catheterization for a client who is unable to urinate. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Performing a bladder scan first assesses bladder volume, confirming the need for catheterization and avoiding unnecessary procedures.
Question 2 of 5
A nurse is preparing to perform a wound irrigation for a client who has a stage 3 pressure injury. Which of the following supplies should the nurse plan to use?
Correct Answer: A
Rationale: A piston syringe is used for wound irrigation to deliver a controlled and directed flow of fluid to clean the wound. It helps remove debris and promote healing. This choice aligns with wound irrigation best practices.
Question 3 of 5
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document?
Correct Answer: C
Rationale: 3+ pitting edema signifies moderately severe pitting edema with a noticeable indentation that aligns with 6 mm edema, making it the correct documentation.
Question 4 of 5
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: I will place a gel pad directly above your pubic area before I place the probe.' ensures proper ultrasound transmission for accurate bladder scan results.
Question 5 of 5
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent healthcare-associated infections for these clients? (Select all that apply.)
Correct Answer: B,C,D
Rationale: Washing hands after removing gloves, using antimicrobial hand gel after refilling a client's water pitcher, and cleaning the stethoscope with an antimicrobial wipe are all effective actions to prevent infections. Placing immunocompromised clients together increases infection risk.