ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 | Nurselytic

Questions 49

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ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions

Extract:


Question 1 of 5

A nurse is replacing a dressing for a client who has an abdominal incision with a closed wound drain. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Lifting the dressing with the underside facing the client prevents contamination. Pushing skin, drying with gauze, or horizontal strokes risk trauma or infection.

Question 2 of 5

A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer: D

Rationale: Using fingers to open the mouth risks injury; a safer method like a tongue depressor is preferred. Other actions enhance safety and hygiene.

Question 3 of 5

A nurse is caring for a client who has chronic constipation. Which of the following actions should the nurse recommend to the client?

Correct Answer: A

Rationale: Probiotics promote gut health, aiding constipation. Daily laxatives risk dependence, white flour lacks fiber, and calcium isn't a primary fix.

Question 4 of 5

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.

Order the Items

Source Container

Open the innermost lower flap of the sterile kit while standing away from the sterile field.
Open each side flap of the sterile kit individually while pulling to the side.
Open the outside cover of the sterile kit and remove the dust cover.
Grasp the outermost flap of the sterile kit while opening away from the body.
Prepare a dry work surface above the waist level.

Correct Answer: E,C,D,B,A

Rationale: E prepares the area, C opens the kit, D starts unfolding, B continues, and A accesses contents, maintaining sterility throughout.

Question 5 of 5

A nurse is caring for a client who fell while walking to the bathroom. Which of the following actions should the nurse take when completing the incident report?

Correct Answer: A

Rationale: Direct quotes provide an objective account. Noting in the record, concluding causes, or filing copies mix purposes and may affect legal status.

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