ATI PN
ATI PN Fundamentals Proctored Exam |Questions And Answers
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ATI PN Fundamentals Proctored Exam
Questions And Answers (Verified Answers)
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Complete A+ Guide
PN ATI Fundamentals Proctored Exam
,ATI PN Fundamentals Proctored Exam |Questions And
Answers (Verified Answers) With Detailed Rationales,
100% Guaranteed Pass || Complete A+ Guide
1. A nurse reinforcing teaching with a client who has pneumonia and a
productive cough. Which of the following instructions should the nurse
include in the teaching?
A. "Your visitors should wear a protective gown."
B. "You should receive a pneumonia vaccine every year."
C. "You should stand 1 foot away from others when coughing."
D. "You should cover your mouth with a tissue when you cough."
Correct Answer: D
Rationale: Covering the mouth with a tissue is the most effective method from
the options to contain respiratory droplets and prevent the transmission of
infection to others. This is a key component of respiratory hygiene. While
visitors may need protection, a gown is not typically required for standard
pneumonia precautions. The pneumonia vaccine is not administered annually,
and standing only one foot away is insufficient distance to prevent droplet
spread.
2. A nurse is reinforcing teaching with the partner of a client who is
immobile. Which of the following instructions should the nurse give the
partner about turning the client in bed?
,A. "Keep your feet close together."
B. "Tighten your stomach muscles."
C. "Straighten your knees."
D. "Bend at your waist."
Correct Answer: B
Rationale: Tightening the stomach muscles, or engaging the core, helps to
stabilize the caregiver's own torso and support the spine. This proper body
mechanics technique uses the strong leg and abdominal muscles to generate
force for turning, rather than placing strain on the more vulnerable muscles of
the back, thereby preventing self-injury.
3. A nurse is collecting data from a client who is 2 days postoperative
following a colostomy placement. Which of the following findings should
the nurse report to the provider?
A. A purple-colored stoma.
B. Protrusion of the stoma.
C. A small amount of bleeding from the stoma.
D. Intestinal gas in the pouch.
Correct Answer: A
Rationale: A healthy, well-perfused stoma should appear beefy red and moist. A
purple, blue, or black color indicates ischemia and compromised blood flow,
which is a medical emergency that requires immediate intervention to prevent
tissue necrosis.
4. A nurse is collecting data from a client who is 1 day postoperative
following abdominal surgery. Which of the following findings is the
, priority for the nurse to report to the provider?
A. The client reports incisional pain as 7 on a scale of 0-10.
B. The client reports increased nausea and chills.
C. The client has an oral temperature of 38.5° C (101.3° F).
D. The client has tenderness and warmth in their calf.
Correct Answer: D
Rationale: Using the priority-setting framework (such as ABCs or Maslow),
tenderness and warmth in the calf are classic signs of a deep vein thrombosis
(DVT). A postoperative DVT is a life-threatening priority because it can embolize
and travel to the lungs, causing a pulmonary embolism, which is a fatal
complication.
5. A nurse is preparing a client for a Romberg test. Which of the following
statements should the nurse make?
A. "Stand with your feet together and your arms at your sides."
B. "After I place the tuning fork, tell me when you no longer hear the sound."
C. "I'm going to stroke the lateral side of the bottom of your foot."
D. "Touch each fingertip as quickly as possible with your thumb."
Correct Answer: A
Rationale: The Romberg test is a test of balance and proprioception. The
instruction to stand with feet together and arms at the sides is the correct initial
position for this test. The nurse then asks the client to close their eyes;
increased swaying or loss of balance with eyes closed indicates a positive test,
suggesting a proprioceptive or vestibular deficit.
ATI PN Fundamentals Proctored Exam |Questions And Answers
(Verified Answers) With Detailed Rationales, 100% Guaranteed Pass
|| Complete A+ Guide
Ascorers Stuvia
This Exam Document Contains:
ATI PN Fundamentals Proctored Exam
Questions And Answers (Verified Answers)
100% Guaranteed Pass
Complete A+ Guide
PN ATI Fundamentals Proctored Exam
,ATI PN Fundamentals Proctored Exam |Questions And
Answers (Verified Answers) With Detailed Rationales,
100% Guaranteed Pass || Complete A+ Guide
1. A nurse reinforcing teaching with a client who has pneumonia and a
productive cough. Which of the following instructions should the nurse
include in the teaching?
A. "Your visitors should wear a protective gown."
B. "You should receive a pneumonia vaccine every year."
C. "You should stand 1 foot away from others when coughing."
D. "You should cover your mouth with a tissue when you cough."
Correct Answer: D
Rationale: Covering the mouth with a tissue is the most effective method from
the options to contain respiratory droplets and prevent the transmission of
infection to others. This is a key component of respiratory hygiene. While
visitors may need protection, a gown is not typically required for standard
pneumonia precautions. The pneumonia vaccine is not administered annually,
and standing only one foot away is insufficient distance to prevent droplet
spread.
2. A nurse is reinforcing teaching with the partner of a client who is
immobile. Which of the following instructions should the nurse give the
partner about turning the client in bed?
,A. "Keep your feet close together."
B. "Tighten your stomach muscles."
C. "Straighten your knees."
D. "Bend at your waist."
Correct Answer: B
Rationale: Tightening the stomach muscles, or engaging the core, helps to
stabilize the caregiver's own torso and support the spine. This proper body
mechanics technique uses the strong leg and abdominal muscles to generate
force for turning, rather than placing strain on the more vulnerable muscles of
the back, thereby preventing self-injury.
3. A nurse is collecting data from a client who is 2 days postoperative
following a colostomy placement. Which of the following findings should
the nurse report to the provider?
A. A purple-colored stoma.
B. Protrusion of the stoma.
C. A small amount of bleeding from the stoma.
D. Intestinal gas in the pouch.
Correct Answer: A
Rationale: A healthy, well-perfused stoma should appear beefy red and moist. A
purple, blue, or black color indicates ischemia and compromised blood flow,
which is a medical emergency that requires immediate intervention to prevent
tissue necrosis.
4. A nurse is collecting data from a client who is 1 day postoperative
following abdominal surgery. Which of the following findings is the
, priority for the nurse to report to the provider?
A. The client reports incisional pain as 7 on a scale of 0-10.
B. The client reports increased nausea and chills.
C. The client has an oral temperature of 38.5° C (101.3° F).
D. The client has tenderness and warmth in their calf.
Correct Answer: D
Rationale: Using the priority-setting framework (such as ABCs or Maslow),
tenderness and warmth in the calf are classic signs of a deep vein thrombosis
(DVT). A postoperative DVT is a life-threatening priority because it can embolize
and travel to the lungs, causing a pulmonary embolism, which is a fatal
complication.
5. A nurse is preparing a client for a Romberg test. Which of the following
statements should the nurse make?
A. "Stand with your feet together and your arms at your sides."
B. "After I place the tuning fork, tell me when you no longer hear the sound."
C. "I'm going to stroke the lateral side of the bottom of your foot."
D. "Touch each fingertip as quickly as possible with your thumb."
Correct Answer: A
Rationale: The Romberg test is a test of balance and proprioception. The
instruction to stand with feet together and arms at the sides is the correct initial
position for this test. The nurse then asks the client to close their eyes;
increased swaying or loss of balance with eyes closed indicates a positive test,
suggesting a proprioceptive or vestibular deficit.
