ATI PN Fundamentals 2023

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? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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

Rationale: A: Prepare solution. B: Remove cannula. C: Scrub cannula. E: Wipe cannula. D: Cleanse stoma ensures sterile technique.

Question 2 of 5

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

A. Request a prescription renewal from the provider every 36 hr.B. Check the client's range of motion every 6 hr.C. Secure the restraints with a square knot.D. Make sure two fingers fit under the restraints.

Correct Answer: D

Rationale: Ensuring two fingers fit prevents excessive tightness and circulation issues.

Question 3 of 5

A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

A. I drink an average of 2,000 milliliters of water daily.B. I take a prescribed opioid pain medication at bedtime.C. I love to eat apples and black-eyed peas.D. I drink two hot cups of coffee each morning.

Correct Answer: B

Rationale: Opioids can cause constipation, impairing bowel elimination.

Question 4 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. Obtain verbal consent from the client.B. Witness the client's signature on a consent form.C. Check the medical record for the client's signature on a previous consent form.D. Have another nurse co-sign the client's consent

Correct Answer: B

Rationale: Witnessing the signature ensures informed consent is documented per protocol.

Question 5 of 5

A charge nurse is observing a newly licensed nurse caring for a client group. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?

A. I will rinse the contaminants from a bedpan with hot water.B. I will wear sterile gloves when bathing a client who is incontinent.C. I will use disinfectant to clean the blood pressure cuff after use on a client.D. I will double-bag a client's linens each day.

Correct Answer: C

Rationale: Disinfecting equipment like a BP cuff prevents cross-contamination between clients.

ATI PN Fundamentals 2023 | Nurselytic

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