ATI LPN
ATI PN fundamentals 2023 Exam 2 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?
Correct Answer: A,B,C,D,E
Rationale: A,B,C,D,E sequence prepares solution, removes cannula, cleans it, and then cleans stoma, maintaining sterility.
Question 2 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: A
Rationale: Removing gloves first prevents hand contamination when removing other PPE.
Question 3 of 5
A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A fan reduces breathlessness sensation, improving comfort in dyspnea.
Question 4 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?
Correct Answer: D
Rationale: Disclosure to an interpreter facilitates care and is permitted under HIPAA without consent.
Extract:
A nurse is caring for a client who is postoperative.
Medication Administration Record
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 5 of 5
What documentation in the client's medical record requires further action by the nurse.
Correct Answer: B,C,D
Rationale: