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ATI PN fundamentals 2023 Exam 2

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ATI PN fundamentals 2023 Exam 2

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Question 1 of 59

A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

A. Apply the belt restraint over the client's gown.

B. Make sure four fingers fit between the restraint and the client's body.

C. Check the client's skin integrity every 4 hr.

D. Tie the belt restraint to the side rail of the bed.

Correct Answer:

Rationale:

Question 2 of 59

A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?

A. Increase your intake of protein.

B. Use your incentive spirometer.

C. Perform regular isometric exercises.

D. Dangle your legs over the side of the bed.

Correct Answer:

Rationale:

Question 3 of 59

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Complete an incident report about the breach of confidentiality.

B. Tell the nurse that permission from the risk manager is required to view the client's record.

C. Remind the nurse that only staff caring for the client may access the client's record.

D. Contact facility security to remove the nurse from the unit.

Correct Answer:

Rationale:

Question 4 of 59

A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?

A. Secure the restraints with a square knot.

B. Check the client's range of motion every 6 hr.

C. Make sure two fingers fit under the restraints.

D. Request a prescription renewal from the provider every 36 hr.

Correct Answer:

Rationale:

Question 5 of 59

A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?

A. I love to eat apples and black-eyed peas.

B. I drink an average of 2,000 milliliters of water daily.

C. I take a prescribed opioid pain medication at bedtime.

D. I drink two hot cups of coffee each morning.

Correct Answer:

Rationale:

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