ATI PN Fundamentals Exam A 2024

Nurse is reinforcing teaching with a client who has a prescription for a transcutaneous electrical nerve unit - Nurse should instruct the client to place electrodes near or on the pain site to produce analgesia at the peripheral neuroreceptors Nurse is reinforcing teaching with a client who is receiving PCA. Which of the following statements by the clients indicates an understanding of the teaching ? - I will not allow anyone to press the PCA button for me a Nurse is palpating the pulse located on top of a clients foot. Which of the following pulses should the nurse document that she is palpating ? - Dorsalis Pedis A nurse is collecting data from a client who has an NG tube set to low intermittent suction. WHich of the following findings indicates hypomagnesemia? - Positive Chvostek's sign A nurse is caring for a client who is alert and in a long term care facility. Which of the following actions should the nurse take to protect the clients privacy ? - Ask the client before discussing his condition when family is present A nurse is collecting data from an older adult client. Which of the following findings should the nurse report to the provider ? - The client reports urinary incontinence a nurse is reinforcing teaching with an older adult client who reports an inability to sleep which of the following information should the nurse include when teaching the client about aging and sleep ? - Sleep pattern change with age A nurse is assisting with the admission of a client who has brough her medications to the facility. Which of the following actions should the nurse take ? - Compare the medications the provider has prescribed with the clients meds a Nurse is reinforcing teaching with an older adult about oral hygiene . Which of the instructions should the nurse include ? - Replace her toothbrush following an illness a nurse is assisting with a presentation to a group of older adults at a community center aboiut hypothermia and hyperthermia which of the following information should the nurse include about age related changes . - Cirrculation becomes less efficient with age A nurse is caring for a client who has a clostridium difficile (C-Diff) infection. Which of the following solutions should the nurse use to perform hand hygiene while caring for this client? - Mild soap A nurse is caring for a client who is postoperative and is experiencing cause and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit? (Select all that apply) - Decreased skin turgor, orthostatic hypotension, flat neck veins. A nurse writes client information on a piece of paper while receiving report. Which of the following actions should the nurse take to dispose of the paper? - Shed the paper in a secure container. A nurse is reinforcing preoperative teaching with a client who does not speak the same language as the nurse. Which of the following actions should the nurse take? - Provide handouts written in the client's primary language. A nurse is contributing to a plan of care for a client who has a new prescription for a wrist restraint. Which of the following actions should the nurse include in the plan? - Pad bony prominence on the wrist A nurse is caring for a client who has recently undergone a total bilateral mastectomy. Which of the following statements by the client requires immediate action by the nurse? - "When i look at myself in the mirror, I don't know if i can go on."` A Nurse is assisting witht he plan of care for a client who has a bacterial infection and a persistent oral temperature of 38.9 c 102 F Which of the folloiwing interventions should the nurse include in the plan of care to treat the fever ? - Administer acetaminophen A nurse is contributing to the plan of care for a client who has a positive throat culture for strep. Which of the following interventions should the nurse recommend to be included in the plan of care? - Ensure the client wears a surgical mask during transportation throughout the facility. A nurse is caring for a client who has a prescription for potassium supplement. The client tells the nurse that the pill is too large to swallow and refuses to take it. The nurse offers to break to pill into two smaller pieces. The nurse is demonstrating which of the following ethical principles? - Beneficence A nurse is using Maslow's hierarchy of needs in assisting with discharge planning for a client. Which of the following activities should the nurse recommend as the priority for this client? - Attend an exercise program. A nurse is reviewing the medical record of a client who has heart failure. The nurse should identify which of the following lab results as an indication that the client has fluid volume excess? - BUN 8mg/dL A nurse is repositioning a client who has quadriplegia and is in the supine position. Which of the following actions should the nurse take to prevent client musculoskeletal injury? - internally rotate the client's hips by using a trochanter roll. A nurse is caring for a female client who has urinary incontinence. Which of the following actions should the nurse take? - Apply a moisture skin barrier to the client's perineal area. A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infection? - Drain urine from the tubing before ambulation. A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that allowing a client to make a decision about a treatment is an example of which of the following ethical principles? Accountability - Autonomy A nurse is moving a client up in bed with the assistance of a second nurse. Which of the following actions should the nurse take? - Place feet apart with the foot nearest the head of the client's bed in front of the other foot. A nurse is providing wound care for a group of clients. Which of the following wounds should the nurse identify as healing by secondary intention? - A stage 3 pressure ulcer on the coccyx.