NGN ATI PN FUNDAMENTALS WITH NGN 2023 EXAM TEST
BANK
A patient tells the nurse, "My bowel movement looks like butter." Which health
problem should the nurse consider is occurring with this patient?
a. Salmonellosis
b. Cystic fibrosis
c. Celiac disease
d. Large bowel cancer - ANSWER: Cystic fibrosis
A nurse is preparing to collect data from a client for a health assessment. Which of
the following should the nurse take?
a. provide privacy for the client
b. keep the lights at dim level
c. expose half of the body at a time
d. encourage the client's friend to remain in the room - ANSWER: Provide privacy for
the client
The nurse should promote a therapeutic environment by providing privacy while
data is being collected for a health assessment.
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?
a. volunteer at the local food pantry
b. attend an exercise program
c. find an enjoyable hobby
d. support environmental conservation - ANSWER: Attend an exercise program
When using Maslow's hierarchy of needs, the nurse should determine that the
priority activity is to fulfill the client's physiological needs for activity. Therefore, the
nurse should recommend exercise and help the client select a suitable exercise
program.
-According to Maslow's hierarchy of needs, volunteering at the local food pantry
helps fulfill the client's self-esteem needs. Therefore, another activity is the priority.
-According to Maslow's hierarchy of needs, finding an enjoyable hobby helps fulfill
the client's self-esteem needs. Therefore, another activity is the priority.
-According to Maslow's hierarchy of needs, supporting environmental conservation
helps fulfill the client's self-actualization needs. Therefore, another activity is the
priority.
,A nurse is moving a client in up bed with the assistance of a second nurse. Which of
the following actions should the nurse take?
a. stand facing the center of the bed at the client's side
b. place feet apart with the foot nearest the head of the client's bed in front of the
other foot
c. keep knees and hips straight while bending a the waist toward the client
d. encourage the client to keep their legs straight and remain still - ANSWER: Place
feet apart with the foot nearest the head of the client's bed in front of the other foot
Placing the feet apart provides a wide base of support, which improves balance.
Additionally, a forward-backward stance enables the nurse to shift their weight as
the client moves up in bed.
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?
a. "I don't understand why everyone is so worried about me"
b. "I don't know if I'll ever find someone who wants to marry me"
c. "When I look at myself in the mirror, I don't know if I can go on"
d. I feel like the doctor pressure me into having the mastectomy - ANSWER: When I
look at myself in the mirror, I don't know if I can go on
This statement shows sadness and a decreased initiative. The greatest risk to this
client is injury from suicidal ideation. Therefore, the priority action is for the nurse to
immediately contact the client's provider regarding this statement.
A nurse is assisting with the plan of care for a client who has aphasia following a
stroke. Which of the following interventions should the nurse use to assist the client
with communication?
a. provide an artificial voice box
b. avoid using facial gestures
c. speak to the client in a louder voice
d. ask the client close-ended questions - ANSWER: Ask the client close-ended
questions
Clients who have aphasia can have difficulty forming words. Therefore, the nurse
should ask the client questions that can be answered with a "yes" or "no" because
the client can respond to these close-ended questions by shaking or nodding their
head.
A nurse is taking notes of client information on a piece of paper while receiving
report. Which of the following actions should the nurse take to dispose of paper?
a. obscure the client's name with a marker prior to disposal
, b. place the paper in a trash can at the nurses' station
c. shred the paper in a secure container
d. secure the paper in the nurse's personal locker - ANSWER: Shred the paper in a
secure container
The nurse should shred any written information in a secure container after use to
protect the client's privacy and adhere to HIPAA guidelines.
A nurse is preparing to administer oxygen to a client who has heart failure and is
having severe difficulty breathing. Which of the following oxygen delivery equipment
should the nurse select to provide the highest concentration of oxygen to the client?
a. nasal cannula
b. simple face mask
c. venturi mask
d. nonrebreather mask - ANSWER: Nonrebreather mask
A nonrebreather mask provides the highest percentage of oxygen concentration
without intubation and mechanical ventilation.
A nurse is contributing to the plan of care for a client who has a positive throat
culture for streptococci. Which of the following intervention should the nurse
recommend to be included in the plan of care?
a. place the client in a room with another client who has pharyngitis
b. ensure that the client wears a surgical mask during transportation throughout the
facility
c. limit the client's room visitors to visitations of 30 min
d. provide the client with negative-pressure airflow of six air exchanges per hour -
ANSWER: Ensure that the client wears a surgical mask during transportation
throughout the facility
Streptococcal pharyngitis requires droplet precautions. The nurse should instruct the
client to wear a surgical mask when outside of the room to prevent the spread of
infection. Staff should make every attempt to limit the client's movement outside of
the room.
-Many organisms can cause pharyngitis; therefore, the nurse should only place the
client in a room with another client who has a positive throat culture for streptococci
to prevent bacterial transmission.
-There are no restrictions on the time visitors may spend with a client who has a
positive throat culture for streptococci.
-The nurse should provide a room with negative-pressure airflow for clients who
require airborne precautions.
A charge nurse smells smoke, enters the visitors restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take?
BANK
A patient tells the nurse, "My bowel movement looks like butter." Which health
problem should the nurse consider is occurring with this patient?
a. Salmonellosis
b. Cystic fibrosis
c. Celiac disease
d. Large bowel cancer - ANSWER: Cystic fibrosis
A nurse is preparing to collect data from a client for a health assessment. Which of
the following should the nurse take?
a. provide privacy for the client
b. keep the lights at dim level
c. expose half of the body at a time
d. encourage the client's friend to remain in the room - ANSWER: Provide privacy for
the client
The nurse should promote a therapeutic environment by providing privacy while
data is being collected for a health assessment.
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?
a. volunteer at the local food pantry
b. attend an exercise program
c. find an enjoyable hobby
d. support environmental conservation - ANSWER: Attend an exercise program
When using Maslow's hierarchy of needs, the nurse should determine that the
priority activity is to fulfill the client's physiological needs for activity. Therefore, the
nurse should recommend exercise and help the client select a suitable exercise
program.
-According to Maslow's hierarchy of needs, volunteering at the local food pantry
helps fulfill the client's self-esteem needs. Therefore, another activity is the priority.
-According to Maslow's hierarchy of needs, finding an enjoyable hobby helps fulfill
the client's self-esteem needs. Therefore, another activity is the priority.
-According to Maslow's hierarchy of needs, supporting environmental conservation
helps fulfill the client's self-actualization needs. Therefore, another activity is the
priority.
,A nurse is moving a client in up bed with the assistance of a second nurse. Which of
the following actions should the nurse take?
a. stand facing the center of the bed at the client's side
b. place feet apart with the foot nearest the head of the client's bed in front of the
other foot
c. keep knees and hips straight while bending a the waist toward the client
d. encourage the client to keep their legs straight and remain still - ANSWER: Place
feet apart with the foot nearest the head of the client's bed in front of the other foot
Placing the feet apart provides a wide base of support, which improves balance.
Additionally, a forward-backward stance enables the nurse to shift their weight as
the client moves up in bed.
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?
a. "I don't understand why everyone is so worried about me"
b. "I don't know if I'll ever find someone who wants to marry me"
c. "When I look at myself in the mirror, I don't know if I can go on"
d. I feel like the doctor pressure me into having the mastectomy - ANSWER: When I
look at myself in the mirror, I don't know if I can go on
This statement shows sadness and a decreased initiative. The greatest risk to this
client is injury from suicidal ideation. Therefore, the priority action is for the nurse to
immediately contact the client's provider regarding this statement.
A nurse is assisting with the plan of care for a client who has aphasia following a
stroke. Which of the following interventions should the nurse use to assist the client
with communication?
a. provide an artificial voice box
b. avoid using facial gestures
c. speak to the client in a louder voice
d. ask the client close-ended questions - ANSWER: Ask the client close-ended
questions
Clients who have aphasia can have difficulty forming words. Therefore, the nurse
should ask the client questions that can be answered with a "yes" or "no" because
the client can respond to these close-ended questions by shaking or nodding their
head.
A nurse is taking notes of client information on a piece of paper while receiving
report. Which of the following actions should the nurse take to dispose of paper?
a. obscure the client's name with a marker prior to disposal
, b. place the paper in a trash can at the nurses' station
c. shred the paper in a secure container
d. secure the paper in the nurse's personal locker - ANSWER: Shred the paper in a
secure container
The nurse should shred any written information in a secure container after use to
protect the client's privacy and adhere to HIPAA guidelines.
A nurse is preparing to administer oxygen to a client who has heart failure and is
having severe difficulty breathing. Which of the following oxygen delivery equipment
should the nurse select to provide the highest concentration of oxygen to the client?
a. nasal cannula
b. simple face mask
c. venturi mask
d. nonrebreather mask - ANSWER: Nonrebreather mask
A nonrebreather mask provides the highest percentage of oxygen concentration
without intubation and mechanical ventilation.
A nurse is contributing to the plan of care for a client who has a positive throat
culture for streptococci. Which of the following intervention should the nurse
recommend to be included in the plan of care?
a. place the client in a room with another client who has pharyngitis
b. ensure that the client wears a surgical mask during transportation throughout the
facility
c. limit the client's room visitors to visitations of 30 min
d. provide the client with negative-pressure airflow of six air exchanges per hour -
ANSWER: Ensure that the client wears a surgical mask during transportation
throughout the facility
Streptococcal pharyngitis requires droplet precautions. The nurse should instruct the
client to wear a surgical mask when outside of the room to prevent the spread of
infection. Staff should make every attempt to limit the client's movement outside of
the room.
-Many organisms can cause pharyngitis; therefore, the nurse should only place the
client in a room with another client who has a positive throat culture for streptococci
to prevent bacterial transmission.
-There are no restrictions on the time visitors may spend with a client who has a
positive throat culture for streptococci.
-The nurse should provide a room with negative-pressure airflow for clients who
require airborne precautions.
A charge nurse smells smoke, enters the visitors restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take?
