ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?

A. Place an identification tag on the outside of the client's shroud. B. Remove the client's dentures and give them to the client's family. C. Wear sterile gloves when cleaning the client's body. D. Ask the assistive personnel to document the client's time of death.

Correct Answer: A

Rationale: An ID tag on the shroud ensures proper identification for autopsy purposes.

Question 2 of 5

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A. BMI of 24 B. Orthostatic hypotension C. Type 1 diabetes mellitus D. Family history of osteoporosis

Correct Answer: C

Rationale: Type 1 diabetes increases cardiovascular risk due to chronic hyperglycemia.

Question 3 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 screening B. To an insurance agency in regard to a life insurance policy C. To a family member when the client is not available D. 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.

Question 4 of 5

A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps? (Move the steps, placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Pinch and withdraw the tube.

Disconnect the tube from the suction device.

Instill 50 mL of air into the tube.

Ask the client to take a deep breath.

Apply clean gloves.

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

Rationale: E: Gloves first. B: Disconnect suction. C: Instill air clears tube. D: Deep breath aids removal. A: Pinch and withdraw.

Question 5 of 5

A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client indicates an understanding of the instructions?

A. I'll keep the height of my walker adjusted so lean slightly forward B. I'll slide the walker and move it about a foot in front of me C. I'll move the walker and my stronger leg ahead at the same time D. I'll keep my elbows slightly bent when I grasp the walker

Correct Answer: D

Rationale: Slightly bent elbows ensure proper posture and control with a walker.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN