ATI LPN
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Pressing the skin barrier for 30 seconds ensures proper adhesion, preventing leaks. Moisturizing soap can leave residue, talc powder hinders adhesion, and a 1/2 inch gap is too large, risking irritation.
Question 2 of 5
A nurse is caring for a client who has an indwelling urinary catheter and a prescription for furosemide. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Recording output monitors furosemide's diuretic effect and fluid balance. Ketones, 24-hr collection, and specific gravity aren't routine here.
Question 3 of 5
A nurse is caring for a who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the worse take to determine the client's level of pain?
Correct Answer: C
Rationale: The FLACC scale assesses pain in nonverbal patients via observable signs, ideal for language barriers. FACES requires language, boards may not work, and interpreters aren't the best for pain assessment.
Question 4 of 5
A nurse is caring for a client who is terminally ill and has a do-not-resuscitate order on his medical record. The client asks, 'What should I do if I have difficulty breathing?' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Repositioning can ease breathing, offering practical help. Sleep doesn't address it, stating it's common lacks action, and limiting therapy dismisses comfort options.
Question 5 of 5
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Pressing the skin barrier for 30 seconds ensures proper adhesion, preventing leaks. Moisturizing soap can leave residue, talc powder hinders adhesion, and a 1/2 inch gap is too large, risking irritation.