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 at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A. Pad bony prominences before applying a restraint. B. Tie the ends of the restraint to the client's bed rail. C. Use a square knot to secure the client's restraint to the bed. D. Observe the client's skin integrity every 2 hr. E. Ensure that 2 fingers can be placed between the restraint and the client.

Correct Answer: A,D,E

Rationale: A: Protects skin. D: Monitors for issues. E: Prevents overly tight restraints.

Question 3 of 5

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A. Orthostatic hypotension. B. BMI of 24. C. Type 1 diabetes mellitus. D. Family history of osteoporosis.

Correct Answer: C

Rationale: Type 1 diabetes increases cardiovascular risk due to vascular damage.

Question 4 of 5

A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)

A. A client receives burns from a heating pad. B. A client reports being dissatisfied with the temperature of the meals provided. C. A client becomes disoriented and falls out of bed. D. A clientâ€™s visitor becomes dizzy and faints in the client's room. E. A client is unable to afford the physical therapy that the provider recommends.

Correct Answer: A,C,D

Rationale: A: Injury requires reporting. C: Fall indicates safety issue. D: Visitor incident needs documentation.

Question 5 of 5

A nurse is caring for a client who is receiving detoxification treatment for an opioid use disorder. As the nurse is preparing to administer a methadone IM injection, the client tells the nurse, 'I am afraid of needles.' Which of the following actions should the nurse take?

A. Remind the client that they must receive the medication as prescribed. B. Tell the client not to worry because the pain will be temporary. C. Request a change in the medication route to PO. D. Ask one of the client's loved ones to encourage them to receive the IM medication.

Correct Answer: C

Rationale: Requesting a PO route addresses the clientâ€™s fear while ensuring treatment.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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