ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 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
Correct Answer: E,D,A,B,C
Rationale: E: Prepare solution. D: Remove cannula. A: Scrub cannula. B: Wipe cannula. C: Cleanse stoma maintains sterility.
Question 2 of 5
A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gently twisting the catheter may navigate past resistance, often due to the prostatic urethra.
Question 3 of 5
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying the restraint over the gown protects skin and ensures comfort.
Question 4 of 5
A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?
Correct Answer: A
Rationale: A photograph, combined with other identifiers like name and birthdate, ensures positive patient identification.
Question 5 of 5
A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?
Correct Answer: D
Rationale: In emergencies, implied consent allows life-saving procedures when delaying could harm the client.