ATI LPN
Lpn ATI Exit Exam Test Bank Questions
Question 1 of 5
What is the best teaching point for a client with left-leg weakness learning to use a cane?
Correct Answer: B
Rationale: The correct teaching point for a client with left-leg weakness learning to use a cane is to maintain two points of support on the floor at all times. This ensures better stability and support for the client while walking.
Choice A is incorrect because the cane should be used on the stronger side to support the weaker leg.
Choice C is incorrect as advancing the cane too far with each step may compromise balance.
Choice D is incorrect because advancing the cane and the strong leg together may not provide adequate support for the weaker leg.
Question 2 of 5
What is the most appropriate strategy for a client with an NG tube who is experiencing nausea and decreased gastric secretions?
Correct Answer: B
Rationale: Irrigating the NG tube with sterile water is the most appropriate strategy for a client with an NG tube experiencing nausea and decreased gastric secretions. This intervention helps in relieving blockages within the tube and can help reduce nausea by ensuring proper drainage. Increasing the suction pressure (
Choice
A) can lead to complications and should not be done without healthcare provider orders. Turning the client onto their side (
Choice
C) is a general measure for patient comfort but does not directly address the issue with the NG tube. Replacing the NG tube with a new one (
Choice
D) is not necessary unless there are specific indications like tube damage or dislodgement.
Question 3 of 5
A nurse is caring for a client who is scheduled for a bronchoscopy. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. A platelet count of 100,000/mm³ is low and increases the risk of bleeding during the bronchoscopy. This finding should be reported to the provider for further evaluation and possible intervention.
Choices A, B, and C are not as critical in this situation. Anxiety about the procedure is common and can be managed with appropriate interventions. Not eating for 8 hours is a standard pre-procedure requirement to prevent aspiration during sedation. A reported allergy to shellfish is important to note but is not directly related to the risk of complications during a bronchoscopy.
Question 4 of 5
A client is receiving phenytoin for management of grand mal seizures and has a new prescription for isoniazid and rifampin. Which of the following should the nurse conclude if the client develops ataxia and incoordination?
Correct Answer: C
Rationale: Ataxia and incoordination are signs of phenytoin toxicity rather than adverse reactions to rifampin or isoniazid. These symptoms indicate that the client is experiencing an adverse effect of phenytoin, requiring a dose adjustment.
Choice A is incorrect because rifampin is not typically associated with ataxia and incoordination.
Choice B is incorrect as the development of ataxia and incoordination does not necessarily mean the seizure disorder is no longer under control.
Choice D is incorrect as the symptoms are more indicative of phenytoin toxicity rather than adverse effects of combination antimicrobial therapy.
Question 5 of 5
A client who is taking furosemide is being taught by a nurse about dietary modifications. Which of the following foods should the nurse recommend to the client?
Correct Answer: A
Rationale: The correct answer is A, Bananas. Bananas are high in potassium, which is essential for clients taking furosemide to prevent hypokalemia. Furosemide is a diuretic that can cause potassium loss through increased urine output.
Therefore, recommending foods rich in potassium, such as bananas, can help maintain potassium levels within the normal range.
Choices B, C, and D are not the best recommendations in this case as they are not particularly high in potassium.