ATI LPN
ATI PN fundamentals 2023 Exam 2 Questions
Question 1 of 5
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying restraints over clothing prevents skin irritation and adds comfort, reducing risks of abrasions and pressure sores.
Question 2 of 5
A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?
Correct Answer: D
Rationale: Dangling legs before standing allows gradual adjustment to upright posture, minimizing orthostatic hypotension risk.
Question 3 of 5
A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Reminding about access protocol directly addresses unauthorized viewing, maintaining confidentiality per HIPAA.
Question 4 of 5
A nurse is caring for a client who is confused and has a prescription for wrist restraints. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ensuring two fingers fit prevents excessive tightness, promoting circulation and safety.
Question 5 of 5
A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?
Correct Answer: C
Rationale: Opioids slow bowel motility, increasing constipation risk, unlike fiber-rich foods or hydration.