ATI PN Fundamentals 2023

ATI PN Fundamentals 2023 Related

Review ATI PN Fundamentals 2023 related questions and content

A nurse is assisting with developing a plan of care for a client.

Exhibit 1

Nurses' Notes
2 days ago:

Client admitted to telemetry unit for uncontrolled atrial fibrillation. Admission skin assessment, area of intact, blanchable skin on client's coccyx.

Today, 0900:

Wound on client's coccyx no longer covered with intact skin. Wound involves full-thickness skin loss, shallow depth with no tunneling. New granulation noted. Minimal amount of exudate noted. Client reports wound pain as 5 on a scale of 0 to 10 and is unable to find a comfortable position.

Complete the following sentence by using the lists of options. The nurse understands that which of the following dressing should be added to the plan of care

  • A. hydrocolloid
  • B. dry gauze
  • C. hydrogel
  • D. alginate
  • E. transparent
Correct Answer: A

Rationale: Hydrocolloid dressings promote healing in full-thickness wounds with minimal exudate.

You may also like to solve these questions

A nurse is collecting data from a client who has an acute condition. Which of the following findings should the nurse identify as increasing the risk for potential client injuries?

  • A. Hearing acuity intact
  • B. Oriented to person only
  • C. Full range of motion bilateral lower extremities
  • D. Ability to use call light
Correct Answer: B

Rationale: Orientation to person only indicates confusion, increasing injury risk.

A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

  • A. Administer prescribed diuretics in the evening.
  • B. Use overhead lighting when checking equipment.
  • C. Keep the door to the client's room closed.
  • D. Provide the client with snug-fitting nightwear.
Correct Answer: C

Rationale: A closed door reduces noise, promoting sleep.

A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?

  • A. Discontinue supplements containing vitamin C 24 hr before the test.
  • B. Refrain from consuming pork 7 days before the test.
  • C. Place a thick layer of stool on the specimen card.
  • D. Urinate prior to collecting the stool specimen.
Correct Answer: D

Rationale: Urinating first prevents urine contamination of the stool specimen.

A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SpO2 level is 88% while on room air. Which of the following actions should the nurse take first?

  • A. Recheck the client's SaO2 level after having the client cough and clear their throat.
  • B. Notify the charge nurse of the client's condition.
  • C. Review the client's most recent SaO2 level in the medical record.
  • D. Check the client's medical records to see which medications were recently admitted.
Correct Answer: A

Rationale: Rechecking SpO2 after clearing the airway rules out temporary obstruction as the cause.

A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?

  • A. I need to create advance directives so that I can donate my organs.
  • B. I can name my sibling as my designee in my durable power of attorney for health care.
  • C. My advance directives can be enforced once my attorney approves them.
  • D. A family member will need to witness my signature on my living will.
Correct Answer: B

Rationale: Naming a designee is a key component of a durable power of attorney.

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