ATI PN Fundamentals Practice (2023/2024) Exam Form B| Questions and Scored 100% Verified Answers
QUESTION
A nurse is contributing to the plan of
... [Show More] care for a client who practices Islam. Which of the following questions should the nurse ask the client to clarify the client's religious preferences?
A. "Do you receive Holy Communion?"
B. "Do you follow a kosher diet?"
C. "Do you consume pork products?"
D. "Do you oppose receiving a blood transfusion if it is needed?"
Answer:
C. "Do you consume pork products?" (Some clients who practice Islam do not consume pork or alcohol).
QUESTION
A nurse is caring for a client who has limited mobility. Which of the following actions should the nurse take to maintain the client's skin integrity?
A. Use warm water when bathing the client.
B. Place a donut shaped cushion in the client's chair.
C. Massage reddened areas over bony prominences.
D. Maintain the client in high-Fowler's position.
Answer:
A. Use warm water when bathing the client. (The nurse should use warm water to bathe the client because hot water can dry and damage the skin).
QUESTION
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.
Answer:
D. A client who has just experienced the death of their child. (Silence is a therapeutic communication technique to use when a client is grieving. It demonstrates caring and patience and allows the client to speak when they are ready to do so).
QUESTION
A nurse is caring for a group of clients in a long-term care facility. Which of the following actions should the nurse take to prevent health care-associated infections for these clients? (Select all that apply)
-Place immunocompromised clients in the same room.
-Wash hands after removing gloves.
-Use antimicrobial hand gel after refilling a client's water pitcher
-Clean the stethoscope with an antimicrobial wipe after obtaining vital signs.
-Administer a prophylactic dose of antibiotics prior to discharge.
Answer:
-Wash hands after removing gloves. (The nurse should perform hand hygiene after removing gloves to prevent the transmission of micro-organisms from one setting or client to another).
-Use antimicrobial hand gel after refilling a client's water pitcher (The nurse should perform hand hygiene after touching a client's supplies to prevent the transmission of micro-organisms).
-Clean the stethoscope with an antimicrobial wipe after obtaining vital signs. (The nurse should wipe all equipment used for multiple clients with an antimicrobial wipe to prevent the transmission of micro-organisms from one client to another).
QUESTION
A nurse is caring for a client who has been vomiting and has diarrhea. Which of the following findings should the nurse identify as an indication of fluid volume deficit?
A. BUN 18 mg/dL.
B. A thready pulse.
C. Hemoglobin 15 g/dL.
D. Prominent neck veins.
Answer:
B. A thready pulse. ( A client who has fluid volume deficit will have thready peripheral pulses).
QUESTION
A nurse is planning care for a group of clients. The nurse should expect to witness an informed consent for a client who will undergo which of the following procedures?
A. Administration of an enema.
B. Performance of a paracentesis.
C. Insertion of an indwelling urinary catheter.
D. Placement of an NG tube.
Answer:
B. Performance of a paracentesis. (The nurse should expect to witness the informed consent for a client prior to an invasive diagnostic procedure, such as a paracentesis).
QUESTION
A nurse working in a community clinic is talking with an older 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 [Show Less]