ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 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 2 of 5
A nurse and an assistive personnel (AP) are providing postmortem care for a deceased client before visitation by the family. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: B
Rationale: Removing dentures requires intervention as they should stay in place to maintain the deceased's natural facial appearance.
Question 3 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.
Question 4 of 5
A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Removing the staple from the skin only after both sides are visible ensures proper removal without causing unnecessary trauma or discomfort to the patient, allowing for a smooth and controlled extraction.
Question 5 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.