ATI LPN
VATI PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Chronic constipation strains the rectal veins, commonly causing hemorrhoids.
Question 3 of 5
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Oral care every 2 hours prevents ventilator-associated pneumonia.
Question 4 of 5
A nurse is caring for a client who has major depressive disorder and is refusing their medication. The client's family suggests placing the client's medication in their food. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Clients have the right to refuse medication; covert administration violates autonomy.
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?'