ATI PN Fundamentals | Nurselytic

Questions 68

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ATI PN Fundamentals Questions

Extract:

An older adult client who is Chinese and is recovering from a bowel obstruction. The client is prescribed a clear-liquid diet and asks the nurse for a cup of hot ginger tea.


Question 1 of 5

The nurse should identify that this request is for which of the following purposes?

Correct Answer: A

Rationale: Ginger is traditionally used to promote digestion, aiding in nausea relief and gastric motility, especially relevant post-bowel obstruction.

Extract:

A nurse is assessing a client who has asthma and signs of central cyanosis.


Question 2 of 5

Which of the following is a reliable indicator of cyanosis?

Correct Answer: A

Rationale: The oral mucosa, particularly lips and tongue, reliably shows cyanosis due to its vascularity and visibility.

Extract:

A nurse is discussing pressure ulcer staging with a newly licensed nurse.


Question 3 of 5

Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?

Correct Answer: A

Rationale: A stage 3 pressure ulcer is characterized by full-thickness skin loss that may extend into the subcutaneous tissue layer but does not involve exposure of muscle, tendon, or bone. The ulcer appears as a deep crater, and there may be damage to the surrounding tissue as well.

Extract:

A nurse is collecting data about the fluid status of four clients.


Question 4 of 5

Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

Correct Answer: D

Rationale: Prolonged NPO status restricts fluid intake, increasing the risk of fluid volume deficit.

Extract:

A nurse is providing care to a client who has COPD and is receiving supplemental oxygen.


Question 5 of 5

Which of the following findings should the nurse report to the RN immediately?

Correct Answer: C

Rationale: Use of accessory muscles indicates respiratory distress, requiring immediate intervention in a COPD client.

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