ATI LPN
VATI PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Raising the head to 30 degrees reduces livor mortis pooling, improving appearance for viewing.
Question 2 of 5
A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?
Correct Answer: D
Rationale: Inserting toward the umbilicus follows the rectum's anatomical path, ensuring safety.
Question 3 of 5
A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?
Correct Answer: A
Rationale: Suction is needed for decompression in bowel obstruction.
Question 4 of 5
A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hyperkalemia occurs due to cell destruction releasing potassium in burns.
Question 5 of 5
A nurse in a mental health unit asks a client who has schizophrenia, 'How are you?' Which of the following responses should the nurse identify as the speech alteration of echolalia?
Correct Answer: C
Rationale: Echolalia is repeating what is heard, as in 'How are you?'