ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Question 1 of 5
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: D
Rationale: Raising all four side rails of a client's bed is a safety hazard because it increases the risk of injury if the client tries to climb over them. It also restricts the client's mobility and may cause feelings of isolation and imprisonment. It is a violation of the client's rights and dignity. A weight-sensitive sensor mat is a safety measure to prevent falls, a buzzing sensation from a TENS unit is expected, and a capillary refill of less than 2 seconds indicates good perfusion.
Question 2 of 5
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining verbal consent from the client is the appropriate action for the nurse to take before inserting an indwelling urinary catheter. The nurse should explain the purpose, benefits, risks, and alternatives of the procedure and ensure that the client understands and agrees to it. Written consent is not required for this routine procedure, co-signing is unnecessary, and previous consent does not apply to the current procedure.
Question 3 of 5
A nurse is collecting data regarding home safety from a client who is prone to falls. Which of the following findings should the nurse recognize as placing the client at additional risk?
Correct Answer: D
Rationale: Covering electrical cords with throw rugs is a risk factor for falls, as the client may trip over them or get tangled in them. It is also a fire hazard. Removing wheels from chairs and using a stool riser are safety measures, and a mattress on the floor may reduce injury risk from falls.
Question 4 of 5
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Determining the client's knowledge of the use of the peak flow meter is the first action that the nurse should take, as it follows the principle of the nursing process. By assessing the client's knowledge, the nurse can identify learning needs and tailor the teaching accordingly before proceeding with demonstrations or evaluations.
Question 5 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.