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 planning to administer medication to a client who has a Clostridium difficile infection. Which of the following actions should the nurse plan to take to prevent the transmission of this infection to others?

A. Clean hands with an alcohol-based hand rub immediately after removing gloves. B. Remove the cover gown in the client's room after providing care. C. Place the client in a room with negative-pressure airflow. D. Wear a mask when administering oral medications to the client.

Correct Answer: B

Rationale: Removing the gown in the client's room contains C. difficile spores, preventing spread, as they resist alcohol-based rubs and aren't airborne.

Question 3 of 5

A nurse and an assistive personnel (AP) are providing postmortem care for a deceased client before visitation by the family. Which of the following actions by the AP requires intervention by the nurse?

A. Gathering the client's personal belongings. B. Removing the client's dentures. C. Placing absorbent pads under the client's buttocks. D. Closing the client's eyes.

Correct Answer: B

Rationale: Removing dentures requires intervention as they should stay in place to maintain the deceased's natural facial appearance.

Question 4 of 5

A nurse is contributing to the plan of care for four clients. For which of the following clients should the nurse initiate airborne precautions?

A. A client who has pneumonia. B. A client who has measles. C. A client who has pertussis. D. A client who has methicillin-resistant Staphylococcus aureus (MRSA).

Correct Answer: B

Rationale: Measles is an airborne disease requiring precautions like N95 masks and negative pressure rooms, unlike the others which spread differently.

Question 5 of 5

A nurse is caring for four clients. For which of the following clients should the nurse use the therapeutic communication technique of silence?

A. A client who plans to leave the facility against medical advice. B. A client who informs the nurse that they have made their funeral arrangements. C. A client who tells the nurse that the night shift nurse did not bring their medication. D. A client who has just experienced the death of their child.

Correct Answer: D

Rationale: Silence supports a client grieving a child's death, offering space to process intense emotions, unlike the other scenarios needing active engagement.

ATI PN Fundamentals 2020 NGN Exam 1 | Nurselytic

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