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Practice Question

A nurse is preparing to perform tracheostomy care for a client. In which order should the nurse take the following steps? Use all the steps.

Answer Choices:

Rationale:

🟢 Explaining the procedure first reduces anxiety and ensures cooperation from the client.

🟢 Establishing communication (like a call bell or signals) is vital because the client may be unable to speak during care.

🟢 Wearing clean gloves before touching the old dressing prevents contamination and protects both nurse and client.

🟢 Cleaning the inner cannula removes secretions and prevents airway blockage for optimal airway patency.

🟢 Applying clean ties last ensures the trach tube stays securely in place without risking accidental dislodgement.

🟢 The sequence helps maintain sterility and safety throughout the procedure.

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This question is from ATI PN Adult Medical Surgical -2023 Exam which contains 74 questions.

More Questions from This Exam
A nurse is reinforcing discharge teaching for a client who had a cerebrovascular accident (CVA) and requires assistance to perform their activities of daily living (ADLs). Which of the following statements should the nurse provide?

Answer Choices:

A. "Install grab bars in your shower to assist with your balance."
B. "Place a towel in the shower to prevent slipping."
C. "Plan to hire a home care aide to perform all of your ADLs."
D. "You will not become fatigued when you use assistive devices."
A nurse is reinforcing teaching about high-potassium foods with a client. Which of the following foods should the nurse recommend?

Answer Choices:

A. 1 cup of sliced cabbage
B. 1 small apple
C. 1 cup of sliced watermelon
D. 1 medium potato
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow. Use all the steps.

Answer Choices:

A. Wipe the sample port with an alcohol wipe and let the alcohol dry.
B. Document in the client's electronic medical record that the specimen was sent to the laboratory.
C. Empty the urine into a sterile container labeled with the client's identifiers.
D. Attach a sterile needleless syringe to the sample port and aspirate the specimen.
E. Clamp the catheter tubing distal to the sampling port for 15 minutes.
A nurse is assisting in the plan of care for a client who has thrombocytopenia. Which of the following actions should the nurse include in the plan?

Answer Choices:

A. Check the client for ecchymosis.
B. Administer ibuprofen for mild headache.
C. Instruct the client to shave with a disposable razor.
D. Initiate protective isolation for the client.
A nurse is preparing to perform a sterile dressing change for a client who has a stage III pressure ulcer. Which of the following actions should the nurse plan to take?

Answer Choices:

A. Don sterile gloves before removing the dressing.
B. Offer the client pain medication before the procedure.
C. Prepare the sterile dressing supplies 30 minutes before the dressing change.
D. Disinfect the wound bed with alcohol before applying tape.
From Exam
ATI PN Adult Medical Surgical -2023 Exam

74 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Medical-Surgical
  • Answer Choices: 5
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