ATI PN Fundamentals 2023 Exam 4

Extract:

Question 1 of 5

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Place one hand over the other against the part of the gown covering their upper body.B. Clasp their hands together in a relaxed position behind their body at their waist.C. Keep their arms at the sides of their body with their hands in a relaxed position.D. Interlock their fingers and hold their hands away from their body above their waist.

Correct Answer: D

Rationale: Interlocking fingers above the waist prevents contamination of sterile gloves.

Question 2 of 5

A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?

A. Inject air into the ampule prior to drawing the medication into a syringe.B. Add 0.5 mL of diluent to the medication.C. Use a filter needle to aspirate the medication.D. Cleanse the tip of the ampule with an alcohol swab after opening.

Correct Answer: C

Rationale: Using a filter needle ensures no glass contaminants are administered.

Question 3 of 5

A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A. Avoid placing toilet tissue in the bedpan after defecation.B. Urinate after the specimen collection.C. Place 1.3 cm (0.5 in) of formed stool into a culture tube.D. Keep the specimen in a warm area.

Correct Answer: A

Rationale: Avoiding toilet tissue prevents contamination, ensuring specimen integrity.

Question 4 of 5

A nurse is assisting in the care of a 72-year-old female client who recently had a stroke and is being monitored for complications. Complete the following sentence by using the lists of options. The client is at risk for developing ___ due to ___.

A. Deep vein thrombosis (DVT)B. Prolonged immobilityC. Urinary CatheterD. constipation

Correct Answer: A,B

Rationale: A: DVT is a risk post-stroke. B: Immobility increases clotting risk.

Question 5 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: Prevents skin breakdown. D: Ensures early detection of issues. E: Ensures proper fit and circulation.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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