ATI PN Fundamentals Updated 2023

Extract:

Question 1 of 5

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

A. Witness the client's signature on a consent form.B. Obtain verbal consent from the client.C. Have another nurse co-sign the client's consent.D. Check the medical record for the client's signature on a previous consent form.

Correct Answer: B

Rationale: Obtaining verbal consent from the client is the appropriate action for the nurse to take before inserting an indwelling urinary catheter. The nurse should explain the purpose, benefits, risks, and alternatives of the procedure and ensure that the client understands and agrees to it. Written consent is not required for this routine procedure, co-signing is unnecessary, and previous consent does not apply to the current procedure.

Question 2 of 5

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A. This type of device is useful for a client who cannot assist.B. The sides of the sling are for the client to hold onto.C. The lower end of the sling goes below the client's calves.D. The device requires the client to use upper body strength.

Correct Answer: A

Rationale: A mechanical lift is designed for clients who cannot assist, supporting their full weight. The sling is not for holding, goes under thighs, and does not require client strength.

Question 3 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I listen to my favorite music to take my mind off the pain.B. I learn to notice the sensation of muscle tension.C. I use focused breathing to control my pain.D. I think about my grandfather's farm to reduce pain.

Correct Answer: D

Rationale: Thinking about a pleasant place like a farm is guided imagery, altering pain perception through imagination. Music, tension awareness, and breathing are distraction, mindfulness, and relaxation, respectively.

Question 4 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Inject air into the ampule prior to drawing the medication into a syringe.B. Cleanse the tip of the ampule with an alcohol swab after opening.C. Use a filter needle to aspirate the medication.D. Add 0.5 mL of diluent to the medication.

Correct Answer: C

Rationale: Using a filter needle prevents glass particles from entering the syringe. Injecting air, cleansing after opening, or adding diluent are incorrect for ampule medication administration.

Question 5 of 5

A nurse is reinforcing teaching with the adult children of a client who is receiving palliative care. Which of the following statements by one of the adult children indicates an understanding of the teaching?

A. We will receive emotional support during our mother's illness.B. We will provide resuscitation to our mother if necessary.C. We won't discuss the illness in the presence of our mother.D. We won't allow her spiritual advisor to visit during this time.

Correct Answer: A

Rationale: Palliative care includes emotional support for families, which this statement reflects. Resuscitation contradicts palliative goals, and avoiding discussion or spiritual support misunderstands the holistic approach.

ATI PN Fundamentals Updated 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN