ATI PN Fundamentals Online Practice 2020 A

ATI PN Fundamentals Online Practice 2020 A 1. A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include? A. "Keep your knees in a locked position when standing for prolonged periods." B. "Bend at the waist when lifting a heavy object." C. "Keep your feet close together when lifting a heavy object." D. "When lifting a heavy object, keep it close to your body." - D. "When lifting a heavy object, keep it close to your body." The nurse should instruct the client to keep the object as close to their body as possible to increase stability and decrease back strain when lifting a heavy object. 2. 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. A stage 3 pressure injury on the coccyx B. A contaminated wound that is closed after 72 hr C. A puncture wound that is sutured D. An abdominal surgical wound with intact staples - A. A stage 3 pressure injury on the coccyx The nurse should identify a pressure injury and other wounds with edges that are not approximated as healing by secondary intention. 3. A nurse is reinforcing teaching with a client about living wills. Which of the following client statements indicates an understanding of the teaching? A. "The living will directs my medical care when I am unable to make decisions." B. "I should have a nurse cosign my living will." C. "After signing the living will, I will not be able to make any changes." D. "I am required by Medicare to have a living will when I am admitted to the hospital." - A. "The living will directs my medical care when I am unable to make decisions." The living will provides specific directions for a client's medical treatment when the client is unable to make decisions due to their health status. 4. A nurse is collecting data on four clients. Which of the following findings should the nurse report to the provider? A. Heart rate 62/min B. Urine output of 200 mL over 8 hr C. Pulse oximetry 95% on room air D. BP 112/76 mm Hg - B. Urine output of 200 mL over 8 hrA urinary output of less than 30 mL/hr can indicate low blood volume or kidney malfunction. The nurse should report an output that averages 25 mL/hr to the provider. 5. 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. - B. 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. 6. A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? A. The client leans on the crutches for support while standing still. B. The client advances the unaffected leg first while climbing stairs. C. The client stands 5 cm (2 in) from the front of a chair before sitting. D. The client bears weight on their axilla while standing in the tripod position. - B. The client advances the unaffected leg first while climbing stairs. When ascending stairs, the client should first advance the unaffected leg. 7. A nurse is preparing to collect data from a client for a health assessment. Which of the following actions should the nurse take? A. Provide privacy for the client. B. Keep the lights at a dim level. C. Expose half of the body at a time. D. Encourage the client's friend to remain in the room. - A. Provide privacy for the client. The nurse should promote a therapeutic environment by providing privacy while data is being collected for a health assessment. 8. A nurse is collecting data from an older adult client. Which of the following findings should the nurse report to the provider? A. The client has smooth, brown, irregular lesions on the back of each hand. B. The client has glossy, white circles around the periphery of the corneas. C. The client reports urinary incontinence. D. The client reports a decreased sense of taste. - C. The client reports urinary incontinence.Aging is a risk factor for urinary incontinence as older adult males can experience hypertrophy of the prostate gland, and older adult females can experience stress incontinence with laughing, sneezing, or coughing. Urinary incontinence is an abnormal condition that can impact the quality of life for older adults. Urinary incontinence should be investigated; therefore, the nurse should report this finding to the provider. Interventions can be reinforced to the client to promote improved urinary function. 9. A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect? A. The client's body should be placed on the floor. B. The client's oldest child will bathe the body. C. The client's face should be turned toward Mecca. D. The client's body will be adorned with amulets. - C. The client's face should be turned toward Mecca. Following death, it can be a practice of the Islamic faith to turn the face of a deceased person toward Mecca. 10.A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take? A. Restrict the client's visitors to the immediate family. B. Assign the client to a negative-pressure airflow room. C. Discard personal protective equipment outside the client's room. D. Have the client wear a HEPA mask during transportation throughout the facility. - B. Assign the client to a negative-pressure airflow room. The nurse should assign the client to a negative-pressure airflow room to ensure that the air from the client's room is not circulated throughout the facility.