ATI PN Fundamentals 2020 NGN Exam 1

Extract:

Question 1 of 5

A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take?

A. Lift the staple remover when squeezing the handle. B. Avoid completely closing the handle after squeezing. C. Expect the staples to bend at each outer side of the staple. D. Remove the staple from the skin after both sides are visible.

Correct Answer: D

Rationale: Removing the staple from the skin only after both sides are visible ensures proper removal without causing unnecessary trauma or discomfort to the patient, allowing for a smooth and controlled extraction.

Question 2 of 5

A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. A nurse can disclose health information without the client's written permission to which of the following entities?

A. An insurance agency offering a life insurance policy. B. A family member who requests the client's diagnosis. C. A physical therapist who is involved in the client's care. D. An employer completing a pre-employment screening.

Correct Answer: C

Rationale: Health professionals who are actively involved in the client's care, such as a physical therapist, may need access to relevant health information for proper treatment, making this an appropriate disclosure.

Question 3 of 5

A nurse is preparing a client for a Romberg test. Which of the following statements should the nurse make?

A. Stand with your feet together and your arms at your sides.' B. After I place the tuning fork, tell me when you no longer hear the sound.' C. I'm going to stroke the lateral side of the bottom of your foot.' D. Touch each fingertip as quickly as possible with your thumb.'

Correct Answer: A

Rationale: Stand with your feet together and your arms at your sides.' is correct. This position helps assess the client's balance with minimal sensory input, evaluating proprioception and vestibular function.

Question 4 of 5

A nurse is reinforcing teaching with the caregiver of a client who is near death. Which of the following instructions should the nurse provide?

A. Encourage meals at least three times daily.' B. Keeping the room warm will help them breathe easier.' C. Help them onto their left side if they are experiencing nausea.' D. Provide mouth care to them at least every 2 hours.'

Correct Answer: D

Rationale: Providing mouth care every 2 hours is appropriate as it keeps the client's mouth moist and clean, enhancing comfort near the end of life when oral hygiene may be difficult to maintain.

Question 5 of 5

A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?

A. I know that I can change my advance directives if I need to in the future.' B. My health care surrogate will make my health care decisions as soon as I have signed the power of attorney.' C. My family can overrule the decisions made by my health care surrogate.' D. Advance directives from one state are valid in any other state.'

Correct Answer: A

Rationale: I know that I can change my advance directives if I need to in the future.' indicates understanding, as clients can update advance directives if their wishes or circumstances change.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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