ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about self-administration of ophthalmic drops. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Cleansing the eye from the inner to the outer edge helps remove debris, reducing infection risk and ensuring the drops are effective.
Question 2 of 5
A nurse is reinforcing teaching with a client who has hypertension and a prescription to measure their blood pressure daily. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: C
Rationale: I should remove constrictive clothing prior to measuring my blood pressure.' is correct as constrictive clothing can affect blood flow and lead to inaccurate readings.
Question 3 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Emptying the drainage bag when it is three-fourths full prevents backflow and reduces infection risk, making it the correct action for catheter care.
Question 4 of 5
A nurse in an acute care setting is documenting postmortem care in a client's medical record. Which of the following information should the nurse include in the documentation?
Correct Answer: C
Rationale: The release of personal belongings form ensures proper accounting and handover of the client's belongings, providing a clear record essential for postmortem documentation.
Question 5 of 5
A nurse is caring for a client and is concerned that the client might have a fecal impaction. Which of the following is the most important question for the nurse to ask?
Correct Answer: D
Rationale: Have you had small liquid stools?' is critical as small liquid stools can indicate fecal impaction, where liquid leaks around the impacted mass, making it the most direct question.