ATI PN Fundamentals 2023 | Nurselytic

Questions 104

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ATI PN Fundamentals 2023 Questions

Extract:

A nurse is assisting with developing a plan of care for a client.

Exhibit 1

Nurses' Notes
2 days ago:

Client admitted to telemetry unit for uncontrolled atrial fibrillation. Admission skin assessment, area of intact, blanchable skin on client's coccyx.

Today, 0900:

Wound on client's coccyx no longer covered with intact skin. Wound involves full-thickness skin loss, shallow depth with no tunneling. New granulation noted. Minimal amount of exudate noted. Client reports wound pain as 5 on a scale of 0 to 10 and is unable to find a comfortable position.


Question 1 of 4

Complete the following sentence by using the lists of options. The nurse understands that which of the following dressing should be added to the plan of care

Correct Answer: A

Rationale: Hydrocolloid dressings promote healing in full-thickness wounds with minimal exudate.

Extract:


Question 2 of 4

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?

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

Rationale: Sequence ensures sterile preparation and cleaning: remove cannula, prepare solution, scrub, wipe, cleanse stoma.

Extract:

Nurses' Notes
Vital Signs
Diagnostic Results
6 months ago:

Client present today for annual examination. Reports lack of sleep and increased stress due to moving and starting a new job.

Today, 1400:

Client presents to office today with reports of fatigue. Client states they have difficulty sleeping without drinking four or five beers a night. Client reports, "I sometimes get headaches along with nausea and vomiting. I have been busy with my new job, so I have been eating a lot of fast food, and I've gained 15 pounds."

Today, 1445.

Provider notified of laboratory results.


Question 3 of 4

A nurse is assisting in the care of a client in a provider's office. A nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe?

Correct Answer: A, B, C, D

Rationale: A: Addresses fluid retention from fast food. B, C, D: Manage weight gain and hypertension risks.

Extract:


Question 4 of 4

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.

Order the Items

Source Container

Open the outside cover of the sterile kit and remove the dust cover
Grasp the outermost flap of the sterile kit while opening away from the body.
Prepare a dry work surface above the waist level
Open the innermost lower flap of the sterile kit while standing away from the sterile field
Open each side flap of the sterile kit individually while pulling to the side

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

Rationale: Sequence maintains sterility: prepare surface, open kit, unfold flaps systematically.

Extract:

Nurses' Notes
Diagnostic Results
Day 1:

1000:

A peripherally inserted central catheter (PICC) is inserted into left arm. Dressing dry and intact. Bilateral breath sounds clear and present throughout.

1200:

Parenteral nutrition started through PICC line infusing at 75 mL/hr.

Day 3:

0800:

Client is lethargic and reports thirst and frequent urination. Bilateral breath sounds clear and present throughout.


Question 5 of 4

A nurse is reviewing the medical record of a client who has a paralytic ileus. Select words from the choices below to fill in each blank in the following sentence: The findings in the client's medical record indicate----and----.

Correct Answer: A, C

Rationale: A: Thirst and urination suggest dehydration. C: Lethargy and polyuria indicate hyperglycemia from parenteral nutrition.

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