ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)

A. Increased peripheral circulation.B. Increased constipation.C. Decreased muscle mass.D. Decreased cough reflex.

Correct Answer: B,C,D

Rationale: B: Reduced motility causes constipation. C: Sarcopenia reduces muscle mass. D: Weaker cough reflex increases aspiration risk.

Question 2 of 5

A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?

A. Place the specimen in a clean specimen cup.B. Remove 45 mL of urine from the catheter with a syringe.C. Clamp the catheter tubing below the needleless port.D. Clamp the catheter tubing for 60 min.

Correct Answer: C

Rationale: Clamping below the port ensures a fresh, uncontaminated sample.

Question 3 of 5

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

A. Place a thick layer of stool on the specimen card.B. Urinate prior to collecting the stool specimen.C. Discontinue supplements containing vitamin C 24 hours before the test.D. Refrain from consuming pork 7 days before the test.

Correct Answer: C

Rationale: Vitamin C can cause false negatives, so discontinuing it ensures accuracy.

Question 4 of 5

A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?

A. The stoma is draining a small amount of liquid stool.B. The stoma protrudes slightly from the abdomen.C. The stoma appears dark in color.D. The stoma bleeds lightly when touched.

Correct Answer: C

Rationale: A dark stoma suggests ischemia or necrosis, requiring urgent reporting.

Question 5 of 5

A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?

A. Place the client's arms above her head prior to logrolling.B. Place the client in semi-Fowler's position prior to logrolling.C. Place the bed in the lowest position before logrolling the client.D. Place a pillow between the client's legs prior to logrolling.

Correct Answer: D

Rationale: A pillow maintains spinal alignment during logrolling post-laminectomy.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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