ATI LPN
ATI PN Fundamentals 2020 NGN Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with the caregiver of a client who is near death. Which of the following instructions should the nurse provide?
Correct Answer: D
Rationale: Providing mouth care every 2 hours is appropriate as it keeps the client's mouth moist and clean, enhancing comfort near the end of life when oral hygiene may be difficult to maintain.
Question 2 of 5
A nurse is reinforcing teaching about advance directives with a client who has end-stage renal disease. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: A
Rationale: I know that I can change my advance directives if I need to in the future.' indicates understanding, as clients can update advance directives if their wishes or circumstances change.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is at risk for developing foot drop due to immobility. Which of the following interventions should the nurse recommend to include in the plan?
Correct Answer: B
Rationale: Supporting the client's feet with foot boots is appropriate as they hold the foot in a dorsiflexed position, preventing foot drop due to immobility.
Question 4 of 5
A nurse is preparing to document information about a client's lower legs, which are swollen with 6 mm edema. Which of the following information should the nurse document?
Correct Answer: C
Rationale: 3+ pitting edema signifies moderately severe pitting edema with a noticeable indentation that aligns with 6 mm edema, making it the correct documentation.
Question 5 of 5
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
Correct Answer: B
Rationale: A thready pulse indicates poor circulation and reduced fluid volume due to fluid loss from vomiting and diarrhea, making it a significant finding for fluid volume deficit.