Questions 53

ATI LPN

ATI LPN Test Bank

PN Fundamentals Exam Questions

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?

Correct Answer: B

Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.

Question 2 of 5

A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Preoxygenating ensures oxygen levels, reducing suctioning risks.
Choice A is too long; 10-15 seconds is safer.
Choice C isn’t standard.
Choice D risks trauma; suction is for withdrawal.

Question 3 of 5

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

Correct Answer: A

Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.

Question 4 of 5

A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: A securing device prevents movement and trauma, reducing infection risk.
Choice A risks contamination; sterile sampling is preferred.
Choice C causes reflux, increasing infection risk.
Choice D isn’t routine unless indicated, to avoid infection.

Question 5 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?

Correct Answer: B

Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.

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