ATI PN Fundamentals 2020 NGN Exam 1

Extract:

Question 1 of 5

A nurse working in a community clinic is talking with an older adult client who states that their life has no purpose. The nurse should identify that the client is in which of the following stages of Erikson's Theory of Psychosocial Development?

A. Ego integrity vs. despair.B. Generativity vs. self-absorption.C. Identity vs. role confusion.D. Intimacy vs. isolation.

Correct Answer: A

Rationale: The client's statement aligns with the ego integrity vs. despair stage, where older adults reflect on life's purpose, facing fulfillment or despair.

Question 2 of 5

A nurse is checking a client for a pulse deficit after detecting an irregular heart rate. Which of the following actions should the nurse take?

A. Count the client's radial and apical pulses simultaneously with another nurse.B. Calculate the client's pulse for 30 seconds and multiply by 2.C. Assist the client to a side-lying position.D. Auscultate the area of the client's chest over the Erb's point.

Correct Answer: A

Rationale: Counting radial and apical pulses simultaneously with another nurse accurately assesses a pulse deficit, identifying discrepancies due to irregular heartbeats.

Question 3 of 5

A nurse is assisting with the admission of an older adult client to an acute care facility. The client states that they are afraid to go to sleep, fearing they will not wake up. Which of the following is a therapeutic response the nurse should make?

A. I will have the nursing staff check on you frequently during the night.'B. You are right to be afraid. This is a new place for you.'C. I will give you your prescribed sleeping medication to help you fall asleep.'D. Describe your concerns about sleeping to me.'

Correct Answer: D

Rationale: Describe your concerns about sleeping to me.' encourages the client to express their fears, allowing the nurse to provide tailored emotional support.

Question 4 of 5

A nurse manager is reinforcing teaching with a group of newly licensed nurses about the disclosure of client health information. A nurse can disclose health information without the client's written permission to which of the following entities?

A. An insurance agency offering a life insurance policy.B. A family member who requests the client's diagnosis.C. A physical therapist who is involved in the client's care.D. An employer completing a pre-employment screening.

Correct Answer: C

Rationale: Health professionals who are actively involved in the client's care, such as a physical therapist, may need access to relevant health information for proper treatment, making this an appropriate disclosure.

Question 5 of 5

A nurse is caring for a client who is scheduled for surgery the following day. During the night, the client is unable to sleep and is restless. Which of the following statements should the nurse make?

A. It must be difficult facing this type of surgery.'B. Other clients who have had this surgery have done just fine.'C. This facility is known for providing excellent care for people who need this type of surgery.'D. I can request a sleeping pill if you think that will help.'

Correct Answer: A

Rationale: It must be difficult facing this type of surgery.' acknowledges the client's feelings and provides emotional support, which is crucial in reducing anxiety and promoting a sense of understanding and empathy.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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