ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:
Correct Answer: D
Rationale: A hematoma is a collection of blood under intact skin, caused by trauma like a fall.
Question 2 of 5
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?
Correct Answer: A
Rationale: Emptying the reservoir maintains drainage function and allows monitoring of output; significant changes would then prompt notifying the surgeon.
Question 3 of 5
A nurse in an acute care center is caring for a client who just died. The client's family requests to perform the postmortem care. Which of the following is an appropriate response for the nurse to make?
Correct Answer: C
Rationale: Offering assistance respects the family's wishes while adhering to facility policy, promoting cultural sensitivity and support.
Question 4 of 5
A nurse in a provider's office performs a fecal occult blood test with a positive result on a client. Which of the following clients may have a false positive result?
Correct Answer: D
Rationale: Iron supplements can cause a false positive fecal occult blood test by darkening stool, mimicking blood.
Question 5 of 5
A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate?
Correct Answer: A
Rationale: Advocacy involves representing the client's wishes by assessing concerns and communicating them to the provider, respecting autonomy.