ATI PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?

A. Play music in the client's room. B. Keep the client's room well lit. C. Ensure that the client's room is kept at a cool temperature. D. Encourage the client to abstain from distracting activities.

Correct Answer: A

Rationale: Music is a nonpharmacological method to distract from pain and promote relaxation.

Question 2 of 5

A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?

A. Cotton-tipped applicator B. Tongue depressor C. Adhesive tape D. Syringe

Correct Answer: D

Rationale: A syringe is used for irrigation to clean a stage 4 pressure injury with deep tissue involvement.

Question 3 of 5

A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Observe the client's skin integrity every 2 hr. B. Use a square knot to secure the client's restraint to the bed. C. Ensure that 2 fingers can be placed between the restraint and the client. D. Tie the ends of the restraint to the client's bed rail. E. Pad bony prominences before applying a restraint.

Correct Answer: A,C,E

Rationale: A: Frequent skin checks prevent injury. C: Two fingers ensure proper fit. E: Padding protects bony areas.

Question 4 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client reports being dissatisfied with the temperature of the meals provided. B. A client receives burns from a heating pad. C. A client becomes disoriented and falls out of bed. D. A client is unable to afford the physical therapy that the provider recommends. E. A client's visitor becomes dizzy and faints in the client's room.

Correct Answer: B,C,E

Rationale: B: Burns indicate harm. C: Falls require reporting. E: Visitor fainting is an unexpected event.

Question 5 of 5

A nurse is delegating client care to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Administering vaginal cream to a client who has a vaginal infection B. Providing postmortem care for a client who has just died C. Suctioning a tracheostomy for a client who has a recent head injury D. Changing a peripheral IV dressing for a client who is postoperative

Correct Answer: B

Rationale: Postmortem care is within the AP's scope; medication administration and invasive procedures are not.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN