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Practice Question

A nurse performing a right eye irrigation will position the patient:

Answer Choices:

Correct Answer:

Supine with the head tilted toward the right eye.

Rationale:

🧼 When irrigating the right eye, the nurse should position the client supine or sitting with the head tilted toward the right side.

🧼 This positioning allows the irrigation fluid to flow from the inner canthus to the outer canthus of the affected eye, preventing contamination of the unaffected eye.

🧼 Tilting the head toward the opposite eye risks spreading contaminants.

🧼 Hyperextension is unnecessary and can be uncomfortable or unsafe, especially in older adults.

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This question is from ATI PN Custom Fundamentals CH 38 which contains 50 questions.

More Questions from This Exam
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?

Answer Choices:

A. Leave it until the end of the shift.
B. Remove the drain.
C. Empty the reservoir.
D. Notify the surgeon about the blood loss.
The nurse changing a wet to dry normal saline dressing for a patient with an ulcer on the heel finds that the old dressing is stuck to the wound bed. The nurse's most beneficial intervention would be to:

Answer Choices:

A. Moisten it with povidone iodine.
B. Pull it off using slow, steady pressure.
C. Add normal saline to loosen it.
D. Leave it in place and cover it with new, wet dressings.
The nurse is performing a dry sterile dressing change for an abdominal wound. The nurse should use a swab to clean:

Answer Choices:

A. From the left to the right across the wound.
B. From the outer abdomen toward the wound.
C. In a circular motion around the wound, circling to the outside.
D. Directly over the wound.
A nurse is collecting data on a client who has a stage 1 pressure injury. Which of the following findings should the nurse expect?

Answer Choices:

A. Full thickness skin loss with visible adipose tissue.
B. Full thickness skin loss with visible bone.
C. Intact skin with localized erythema.
D. Partial-thickness skin loss with red tissue in the wound bed.
When preparing to change a sterile dressing over an incision, it is most important to remember to:

Answer Choices:

A. Remind him to remain very still during the procedure.
B. Place a discard bag close to the wound.
C. Change gloves after removing the old dressing.
D. Refrain from talking while the wound is uncovered.
From Exam
ATI PN Custom Fundamentals CH 38

50 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: ATI Exams
  • Domain: FUNDAMENTALS OF NURSING PN
  • Answer Choices: 4
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