ATI PN Fundamentals 2023

Extract:

Question 1 of 5

The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.

A. Ensure the oxygen delivery system is at least 8 feet from any heat sourceB. Adjust the oxygen flow rate as needed to ease breathing.C. Take antibiotic medication with or without food.D. Decrease the steroid dose each day.E. Take antibiotics for 10 days.F. Store the oxygen cylinder wrench with the oxygen tank.G. Take steroid medication in the morning.

Correct Answer: A,E,F,G

Rationale: A: Safety precaution. E: Standard antibiotic duration. F: Accessibility for emergencies. G: Morning steroids reduce adrenal suppression.

Question 2 of 5

A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?

A. He is here in the hospital, but I cannot tell you anything else.B. I cannot confirm or deny that we have a client by that name.C. The client's condition is stable right now.D. I will tell him you called.

Correct Answer: B

Rationale: Protecting confidentiality under HIPAA requires not confirming client presence.

Question 3 of 5

A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?

A. Use your incentive spirometer.B. Dangle your legs over the side of the bed.C. Increase your intake of protein.D. Perform regular isometric exercises.

Correct Answer: B

Rationale: Dangling legs helps acclimate the body to positional changes, reducing hypotension risk.

Question 4 of 5

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?

A. Unlock and remove the inner cannula.B. Scrub the inside and outside of the inner cannula with a small brushC. Wipe the inside of the inner cannula with a folded pipe cleaner.D. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.E. Cleanse the stoma site with 0.9% sodium chloride solution.

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

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

Question 5 of 5

A nurse is reviewing a client's electronic medical record (EMR). Which of the findings should the nurse identify as a risk factor for a potential accident or injury?

A. History of dementiaB. Steady gaitC. History of gastric refluxD. Age of 45

Correct Answer: A

Rationale: Dementia increases confusion and fall risk, predisposing to accidents.

ATI PN Fundamentals 2023 | Nurselytic

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ATI LPN

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