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 reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?

A. I'm glad to have the opportunity to choose what kind of care I receive while I still can. B. I can't change my mind about the care I will receive once I sign my living will. C. Once I fill out my living will, there will be a 1-month delay before it is legally binding. D. If I want life support, I'll need to sign a separate consent form first.

Correct Answer: A

Rationale: This reflects understanding that advance directives allow care choices while capable.

Question 3 of 5

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?

A. Check the client's medical records to see which medications were recently administered. B. Review the client's most recent SaO2 level in the medical record. C. Notify the charge nurse of the client's condition. D. Recheck the client's SaO2 level after having the client cough and clear their throat.

Correct Answer: D

Rationale: Rechecking after coughing assesses if the low SaO2 is due to mucus, addressing it immediately.

Question 4 of 5

A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client indicates an understanding of the instructions?

A. I'll keep my elbows slightly bent when I grasp the walker. B. I'll slide the walker and move it about a foot in front of me. C. I'll move the walker and my stronger leg ahead at the same time. D. I'll keep the height of my walker adjusted, so I lean slightly forward.

Correct Answer: A

Rationale: Slightly bent elbows ensure stability and comfort when using a walker.

Question 5 of 5

A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which sequence should the nurse perform the following steps?

Order the Items

Source Container

Apply clean gloves.

Disconnect the tube from the suction device.

Instill 50 mL of air into the tube.

Ask the client to take a deep breath.

Pinch and withdraw the tube.

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

Rationale: A: Gloves ensure hygiene. B: Disconnect suction. C: Air clears tube. D: Breath aids removal. E: Pinch prevents leakage.

ATI PN Fundamentals 2023 Exam 4 | Nurselytic

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