ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: I know that I can change my advance directives if I need to in the future.' indicates understanding, as clients can update advance directives if their wishes or circumstances change.
Question 2 of 5
A nurse is assisting with the admission of a client to a medical-surgical unit. Which of the following findings should the nurse identify as an indication that the client is malnourished?
Correct Answer: C
Rationale: Pallor with scaly skin can be indicative of malnourishment. Malnourished individuals may not receive adequate nutrients for skin health, leading to dryness and scaling. Pallor can result from anemia, which can be associated with poor nutritional intake.
Question 3 of 5
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?
Correct Answer: A
Rationale: Using warm water when bathing helps maintain skin integrity by ensuring the skin is clean without causing excessive dryness or irritation. Warm water is gentle on the skin and helps in maintaining its natural moisture balance.
Question 4 of 5
A client who is scheduled to undergo surgery tells the nurse that they do not understand the procedure and are reconsidering their decision to have it. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Notifying the charge nurse ensures the client's concerns are addressed by the surgeon, respecting their autonomy and need for informed consent.
Question 5 of 5
A nurse is caring for a client who is receiving intermittent enteral feedings. Which of the following is the first action the nurse should take?
Correct Answer: A
Rationale: Measuring gastric residual before each feeding assesses tolerance and prevents complications like aspiration, making it the priority action.