ATI RN FUNDAMENTAL EXAM WITH NGN LATEST ACTUAL SCREENSHOTS.
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Question: 1 of 60 CORRECT Pause Remaining: 08:20:00
A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing
should the nurse use?
Alginate
INCORRECT
Alginate dressings are used to treat stage 3 and 4 pressure injuries to absorb drainage. Alginate forms a soft gel when it
comes in contact with drainage.
Gauze
INCORRECT
Moistened gauze promotes healing in stage 4 or unstageable pressure injuries by causing debridement and allowing
granulation of the wound bed.
Transparent
INCORRECT
Transparent dressings promote healing in stage 1 pressure injuries by preventing further friction and shearing.
CORRECT
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Question: 2 of 60 CORRECT Pause Remaining: 08:20:00
A nurse is caring for a client who has a terminal illness and is at the end of life. The nurse should recognize that which of the
following statements by the client's partner indicates effective coping?
"I am not worried because I still have hope that he will be okay."
INCORRECT
This statement reflects false hope and possible denial of the terminal nature of the client's illness. Denial involves the
blocking of painful thoughts or feelings that induce anxiety.
"I am relying on support from our family during this time."
CORRECT
This statement indicates effective coping because the partner is relying on others in the family for support during a time of
crisis.
"We can plan our family reunion once he recovers and comes home."
INCORRECT
This statement reflects false hope and possibly denial of the terminal nature of the client's illness. Denial involves the
blocking of painful thoughts or feelings that induce anxiety.
"We don't see any reason to start discussing funeral arrangements right now."
INCORRECT
This statement reflects potential false hope about and possible denial of the terminal nature of the client's illness. It also
indicates the partner's potential inability or unwillingness to address unpleasant or challenging issues related to the client's
death.
, RN Fundamentals Online Practice 2019 A with NGN CLOSE
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Question: 3 of 60 CORRECT Pause Remaining: 08:20:00
A nurse is assessing an older adult client's risk for falls. Which of the following assessments should the nurse use to identify
the client's safety needs? (Select all that apply.)
Lacrimal apparatus
Pupil clarity
Appearance of bulbar conjunctivae
Visual fields
Visual acuity
CORRECT
Lacrimal apparatus is incorrect. If clients have an impairment in the ability to produce tears, it should not affect their fall risk.
The nurse tests this by palpating the tear duct at the lower eyelid to see if any tears emerge.
Pupil clarity is correct. Cloudy pupils mean that the client has cataracts. This makes vision cloudy and creates halos around
lights, which can increase the risk for falls because clients cannot see items in their path clearly.
Appearance of bulbar conjunctivae is incorrect. The nurse should examine the bulbar conjunctivae by gently retracting the
lower and upper lids to evaluate color and texture and assess for the presence of infection. However, the condition of the
conjunctivae will not impede the client's safety.
Visual fields is correct. The nurse should use a finger to test the client's peripheral vision by moving the finger out of range and
then back into the visual field to determine when the client sees the finger. Clients who have a visual field impairment are at an
increased risk for falls because they might not see objects outside of their central vision and trip over them or bump into them
and fall.
Visual acuity is correct. The nurse should use a Snellen chart to assess distance vision and a handheld card to assess near
vision. Clients who wear eyeglasses should wear them during the assessments. Clients who have impaired visual acuity are at an
increased risk for falls because they might not see objects in their path and trip over them or bump into them and fall.
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Question: 4 of 60 CORRECT Pause Remaining: 08:20:00
A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of
correct use?
The top of the cane is parallel to the client's waist.
INCORRECT
The top of the cane should be parallel to the client's greater trochanter.
When walking, the client moves the cane 46 cm (18 in) forward.
INCORRECT
To maintain balance, the client should advance the cane about 15 to 30 cm (6 to 12 in) at a time.
The client holds the cane on the stronger side of her body.
CORRECT
The client should hold the cane on the stronger side of her body to increase support and maintain alignment.
The client moves her stronger limb forward with the cane.
INCORRECT
The client should move her weaker leg forward with the cane. This divides the client's body weight between the cane and the
stronger leg.