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 caring for a client who is scheduled for open heart surgery. The client states, 'I am confident I will be able to go home a few hours after the surgery.' The nurse should identify that the client is experiencing which of the following stages of grief?
Correct Answer: C
Rationale: Denial reflects unrealistic expectations about recovery.
Question 3 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 4 of 5
A nurse is caring for an older adult client who states, 'I can't pay for my care because my kid took all my money.' Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reporting to adult protective services addresses potential financial abuse.
Question 5 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.