ATI PN
Adult
Medical
Surgical
Proctored
Exam with
NGN
Questions,
Passing File
,The correct answer is: The client's fingers are cool to the touch.
Rationale
This question tests your ability to identify early signs of neurovascular impairment, specifically the risk of
Compartment Syndrome, which is a medical emergency following the application of a cast.
The correct answer is: Break up nursing care into small, frequent sessions.
Rationale
The goal of nursing care for a client experiencing sensory overload is to reduce environmental stimuli and
provide periods of rest to prevent further overwhelm of the client's sensory system.
• Why "Break up nursing care" is correct: Clustering care or breaking it into smaller, manageable
segments allows the client to have periods of rest and prevents them from being overwhelmed by
prolonged interactions or multiple procedures at once.
,Correct Answer: Place white tape on the edges of stairs.
• Rationale: Using high-contrast tape on the edges of steps improves visibility and depth perception,
which helps prevent falls in older adults.
• Why other options are incorrect:
o Furnace inspection: Furnaces and heating systems should typically be inspected annually, not
every 2 years, to prevent carbon monoxide poisoning and fire.
o Wires under carpeting: This is a major fire hazard, as friction can wear down insulation and
lead to electrical fires.
o Area rugs: Rugs are significant trip hazards for older adults and should be removed or securely
tacked down rather than placed on slippery wooden floors.
, Correct Answer: Passing of flatus.
• Rationale: The passing of flatus (gas) is the primary indicator that the bowel is beginning to function
again following a colostomy placement.
• Why other options are incorrect: * Stoma is pinkish-red: This is a normal finding for stoma health
and circulation, but it does not specifically indicate that the GI tract is functioning (moving contents).
o Absent bowel sounds: This indicates an ileus or lack of function.
o Tolerating clear liquids: This is a general postoperative goal but does not confirm the stoma
itself is functional.
Adult
Medical
Surgical
Proctored
Exam with
NGN
Questions,
Passing File
,The correct answer is: The client's fingers are cool to the touch.
Rationale
This question tests your ability to identify early signs of neurovascular impairment, specifically the risk of
Compartment Syndrome, which is a medical emergency following the application of a cast.
The correct answer is: Break up nursing care into small, frequent sessions.
Rationale
The goal of nursing care for a client experiencing sensory overload is to reduce environmental stimuli and
provide periods of rest to prevent further overwhelm of the client's sensory system.
• Why "Break up nursing care" is correct: Clustering care or breaking it into smaller, manageable
segments allows the client to have periods of rest and prevents them from being overwhelmed by
prolonged interactions or multiple procedures at once.
,Correct Answer: Place white tape on the edges of stairs.
• Rationale: Using high-contrast tape on the edges of steps improves visibility and depth perception,
which helps prevent falls in older adults.
• Why other options are incorrect:
o Furnace inspection: Furnaces and heating systems should typically be inspected annually, not
every 2 years, to prevent carbon monoxide poisoning and fire.
o Wires under carpeting: This is a major fire hazard, as friction can wear down insulation and
lead to electrical fires.
o Area rugs: Rugs are significant trip hazards for older adults and should be removed or securely
tacked down rather than placed on slippery wooden floors.
, Correct Answer: Passing of flatus.
• Rationale: The passing of flatus (gas) is the primary indicator that the bowel is beginning to function
again following a colostomy placement.
• Why other options are incorrect: * Stoma is pinkish-red: This is a normal finding for stoma health
and circulation, but it does not specifically indicate that the GI tract is functioning (moving contents).
o Absent bowel sounds: This indicates an ileus or lack of function.
o Tolerating clear liquids: This is a general postoperative goal but does not confirm the stoma
itself is functional.
