ATI LPN
ATI LPN NS 117 Fundamentals Exam Questions
Extract:
Client has a chest tube
Question 1 of 5
A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Taping connections (
C) prevents accidental disconnection, maintaining the system’s integrity. A can cause kinks, obstructing drainage. B risks lung damage from excessive pressure. D prevents gravity drainage, risking fluid backflow.
Extract:
None
Question 2 of 5
A nurse is preparing to remove a client's urinary catheter. After performing hand hygiene, which of the following actions should the nurse take?
Correct Answer: B
Rationale: Positioning the client supine (
B) ensures comfort and access for safe catheter removal. A risks urethral trauma by not fully deflating the balloon. C is unnecessary and unrelated to removal. D is not standard post-removal; soap and water suffice.
Extract:
Infant has a prescription for home oxygen and pulse oximetry monitoring
Question 3 of 5
A nurse is reinforcing discharge teaching with the parents of an infant who has a prescription for home oxygen and pulse oximetry monitoring. Which of the following statements by the parents indicates a need for further teaching?
Correct Answer: D
Rationale: A reading of 100% (
D) is likely inaccurate for an oxygen-dependent infant, suggesting malfunction or misplacement, requiring clarification. A, B, and C are correct: rotating the probe prevents skin damage, finger/toe placement is appropriate, and movement affects accuracy.
Extract:
Client has paraplegia and is on an intermittent urinary catheterization program
Question 4 of 5
A nurse is caring for a client who has paraplegia and is on an intermittent urinary catheterization program. Which of the following findings indicates to the nurse the need to catheterize the client?
Correct Answer: D
Rationale: Suprapubic discomfort (
D) indicates bladder distention, necessitating catheterization to prevent complications. A, B, and C suggest incontinence issues, not immediate retention requiring catheterization.
Extract:
None
Question 5 of 5
A nurse is assisting with the implementation of a bowel training program for a client. For the program to be effective, the nurse should take the client to the bathroom at which of the following times?
Correct Answer: C
Rationale: Timing with the client’s urge (
C) aligns with natural bowel patterns, enhancing training success. A ignores the gastrocolic reflex post-meals. B is too rigid and may not match urges. D may indicate delayed defecation, causing discomfort.