ATI LPN
PN ATI Capstone Fundamentals Quiz Questions
Question 1 of 5
A nurse is teaching a client about the correct use of a cane. What should the nurse include?
Correct Answer: B
Rationale: The cane should be held on the stronger side to provide support and stability while walking.
Question 2 of 5
A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. Which of the following actions should the nurse take to prevent contamination during the dressing change?
Correct Answer: B
Rationale: If liquid comes in contact with the sterile field at any point, it is considered contaminated and unsterile, necessitating the restart of the procedure.
Question 3 of 5
A nurse is assisting a client who signed an informed consent form for surgery but has since expressed doubts about the need for surgery. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The nurse should encourage the client to express concerns and ensure that the surgeon addresses any questions prior to the procedure.
Question 4 of 5
A nurse is in the emergency department monitoring the hydration status of a client receiving oral rehydration. What should the nurse intervene for?
Correct Answer: A
Rationale: A heart rate of 120/min may indicate dehydration or inadequate hydration, prompting the need for IV fluid replacement.
Question 5 of 5
A nurse is caring for a client who reports burning around the peripheral IV site. Which finding should the nurse identify as a manifestation of infiltration?
Correct Answer: C
Rationale: Edema at the IV site indicates that IV solution has leaked into the extravascular tissue, which is a sign of infiltration.
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