Ati Pn Fundamentals Exam Questions With Correct Verified Answers & Rationales | 100% Pass (A+ Certified)

A nurse is assisting in care of a client who is being placed on transmission-based precautions. Which of the following actions should the nurse plan to take when caring for this client? Answer - Wear an N95 mask when caring for the client (the client has tuberculosis so airborne precautions) -Place a trash can for soiled linens inside the client's room (airborne precautions) -Place the client in a negative airflow room (airborne precautions) -Perform hand hygiene before leaving the clients room (prevents transmission of infection) A nurse is assisting with caring for a female client who has a newly placed ileostomy. Complete the following sentence by using the lists of options Answer The nurse should first address the COLOR OF THE STOMA, followed by the SKIN CONDITION AROUND THE STOMA (the color of the stoma indicates the client is at greatest risk for necrosis of the bowel) (It can place the client at risk for infection) A nurse is caring for a client in a medical-surgical unit. After reviewing the findings, which of the following actions should the nurse plan to take Answer -Administer analgesic prior to planned activities (can decrease pain and enable the client to perform their planned activities) - Delegate the application of sequential compression devices to assistive personnel (after the initial assessment by the nurse) -Assist the client to dangle their legs at the bedside prior to standing (can increase venous return and reduce orthostatic hypotension) A nurse is caring for a client who has COPD. Select 3 findings that require follow-up. Answer -Breath sounds (crackles are caused by mucous in the airways and are manifestation of pneumonia. decreased breath sounds indicate decreased ventilation and require follow-up by the nurse) -Oxygen saturation (The clients o2 is below the expected reference range and indicates hypoxia) -Temperature (The client's temperature is greater than the expected reference range) A nurse in a provider's clinic is caring for a client who has heart failure. The nurse is evaluating the client's understanding of the teaching. Answer -I am limiting my sodium intake to 2 grams daily (clients who has heart failure should maintain a sodium intake of between 2 to 3 g daily) -I am eating fewer potato chips and more fruit for snacks (Chips are a processed snack food that contain increased amounts of sodium) - I know to call my doctor if i gain 3 pounds or more in 2 days (The client should monitor their weight daily and call their provider for a weight gain of 3 lb or greater in 2 days to prevent an exacerbation of their heart failure) A nurse is caring for a client who had a spinal cord injury and has paraplegia Answer -Passive range-of-motion exercises to lower extremities preformed once daily (The nurse should perform passive range-of-motion exercises to the client's lower extremities two to three times daily to reduce the risk for contractures) -Plantar flexion contractures noted bilaterally (The nurse should place a foot board at the end of the client's bed or apply foot boots to the client's feet to protect the client's heels and decrease the contracture) -Left heel has 1.3 cm x 1.3 cm area of non blanchable erythema; skin is intact (The client has a stage 1 pressure injury on their left heel. The nurse should apply foot boots to the client's feet to protect the client's heels and promote healing.) Assisting with care of a client who reports an extended period of constipation. Based on the client's clinical findings, which of the following actions should the nurse take first Answer -Assist the client to a left side-laying position with the right knee flexed (The nurse should place the client in a left side-lying position with the right knee flexed prior to administering an enema. Since the provider prescribed a cleansing enema for the client, the nurse should prepare the client) -administer a cleansing enema (The nurse should administer a cleansing enema for the client because of the provider's prescription. A cleansing enema is intended to assist with bowel elimination and remove any impacted fecal matter indicated by the abdominal x-ray) -Auscultate the client's bowel sounds (The nurse should auscultate the client's bowel sounds to determine the status of the client's peristalsis. This is a necessary part of determining the presence of bowel sounds, which are an indication of the status of the client's gastrointestinal tract.) -Perform a manual digital examination of the client's rectum (The nurse should perform a manual digital examination of the client's rectum to determine whether there is impacted stool present. This is a part of the necessary evaluation of the status of the client's gastrointestinal tract.) A nurse is assisting in the care of a client Drag words from the