ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.

Order the Items

Source Container

Open the outside cover of the sterile kit and remove the dust cover

Grasp the outermost flap of the sterile kit while opening away from the body.

Prepare a dry work surface above the waist level

Open the innermost lower flap of the sterile kit while standing away from the sterile field

Open each side flap of the sterile kit individually while pulling to the side

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

Rationale: Sequence maintains sterility: prepare surface, open kit, unfold flaps systematically.

Extract:

Nurses' Notes
Diagnostic Results
Day 1:

1000:

A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.

1200:

Parenteral nutrition started through PICC line infusing at 75 mL/hr.

Day 3:

0800:

Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout.

Question 2 of 5

A nurse is reviewing the medical record of a client who has a paralytic ileus. Select words from the choices below to fill in each blank in the following sentence: The findings in the client's medical record indicate----and----.

A. Dehydration B. Pneumothorax C. Hyperglycemia D. Infection E. Electrolyte Imbalance F. Hypoglycemia

Correct Answer: A, C

Rationale: A: Thirst and urination suggest dehydration. C: Lethargy and polyuria indicate hyperglycemia from parenteral nutrition.

Extract:

Question 3 of 5

A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?

A. We will use an electric blanket to keep your partner warm. B. Encourage your partner to eat three large meals each day. C. Assume your partner can hear you, even if they do not respond. D. Opioids will be restricted if your partner develops respiratory distress.

Correct Answer: C

Rationale: Assuming hearing persists respects dignity and encourages communication in end-of-life care.

Question 4 of 5

A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

A. Determine if the client has a support system. B. Schedule a mental health consult for the client. C. Provide the client with information about coping strategies. D. Encourage the client to attend a support group.

Correct Answer: A

Rationale: Assessing the support system first identifies resources to address ineffective coping.

Question 5 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. Add 0.5 mL of diluent to the medication. B. Inject air into the ampule prior to drawing the medication into a syringe. C. Use a filter needle to aspirate the medication. D. Cleanse the tip of the ampule with an alcohol swab after opening.

Correct Answer: C

Rationale: A filter needle prevents glass particles from being drawn into the syringe from the ampule.

ATI PN Fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN