A nurse is reviewing information about advance dir

Extract:

Question 1 of 5

A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information?

A. Advance directives include instructions for resolving financial matters after my death. B. Federal legislation dictates the legal guidelines for advance directives. C. Advance directives include a living will. D. My medical record should not include my advance directives.

Correct Answer: C

Rationale: Advance directives include a living will, specifying treatment preferences.

Question 2 of 5

A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take?

A. Assist the client to the orthopneic position. B. Instruct the client to remain as still as possible during the recording. C. Attach a blood pressure cuff to the client's upper arm. D. Tell the client to expect a mild stinging sensation during the test.

Correct Answer: B

Rationale: Remaining still ensures accurate ECG recordings, avoiding motion artifacts.

Question 3 of 5

A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?

A. Coil the tubing on the bed above the collection bag. B. Instruct the client to hold the drainage bag at waist height when ambulating. C. Collect a sterile specimen from the urinary drainage bag. D. Secure the tubing with adhesive tape to the lower abdomen

Correct Answer: D

Rationale: Securing the tubing prevents dislodgement and maintains proper drainage.

Question 4 of 5

A nurse is reinforcing teaching with a client about collecting a stool specimen to check for occult blood. Which of the following statements by the client indicates an understanding of the teaching?

A. Eating pasteurized dairy products will affect my test results. B. Having urine mixed in with the stool will not affect the results. C. I should avoid eating red meat for 3 days before my test. D. I should collect a specimen once each week for 4 weeks.

Correct Answer: C

Rationale: Avoiding red meat prevents false positives in occult blood tests, ensuring accuracy.

Question 5 of 5

A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?

A. A nurse observes a client vomiting after receiving an oral pain medication. B. A nurse observes another nurse remove wrist restraints one at a time from a client who is currently calm. C. A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client. D. A nurse discovers that a client's family member has administered a PCA dose.

Correct Answer: C

Rationale: An IV pump delivering double the fluid is a serious error requiring an incident report for safety review.

Nurselytic

ATI LPN

ATI LPN

PN Comprehensive predictor Questions

Extract:

Question 1 of 5

Question 2 of 5

Question 3 of 5

Question 4 of 5

Question 5 of 5

Access More Questions!

ATI LPN Basic

ATI LPN Premium

Similar Questions