ATI PN Fundamentals 2023

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?

A. I will clean around the stoma with a moisturizing soap. B. I will press on the skin barrier for 30 seconds to ensure that it adheres. C. I will cut an opening in the skin barrier that is 1/2 inch larger than the stoma. D. I will apply a thin layer of talc powder around the stoma before placing the appliance.

Correct Answer: B

Rationale: Pressing the barrier ensures a secure seal, preventing leaks.

Question 2 of 5

A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?

A. Cleanse the client's outer ear with isopropyl alcohol to remove wax. B. Pull the client's pinna downward and back. C. Hold the ear dropper 1 cm (0.5 in) from the client's ear. D. Request the client remain supine for 10 min following administration.

Correct Answer: C

Rationale: Holding the dropper 1 cm above prevents contamination and ensures proper delivery.

Question 3 of 5

A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse plan to take?

A. Cleanse the wound with cotton balls. B. Use a 10-mL syringe filled with cleansing solution. C. Hold the syringe tip 2.5 cm (1 in) above the upper end of the wound. D. Dry the wound bed with gauze squares.

Correct Answer: C

Rationale: This technique ensures effective irrigation without damaging tissue.

Question 4 of 5

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Tell the nurse that permission from the risk manager is required to view the client's record. B. Contact facility security to remove the nurse from the unit. C. Complete an incident report about the breach of confidentiality. D. Remind the nurse that only staff caring for the client may access the client's record.

Correct Answer: D

Rationale: This action reinforces HIPAA compliance without escalating unnecessarily.

Question 5 of 5

A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?

A. Avoid the use of facial gestures during the instructions. B. Determine the client's ability to use a communication board. C. Speak with a loud voice while providing the information. D. Provide the teaching without expecting the client to respond.

Correct Answer: B

Rationale: A communication board can aid clients with expressive aphasia in understanding and responding.

ATI PN Fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN