ATI LPN
PN Fundamentals 2023 Questions
Question 1 of 5
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A dark stoma suggests ischemia or necrosis, requiring urgent reporting.
Question 2 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: D
Rationale: Gloves are removed first as they are the most contaminated, reducing spread.
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: B
Rationale: Reminding about access rules upholds confidentiality standards.
Question 4 of 5
A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?
Correct Answer: A
Rationale: Asking about expectations establishes a foundation for personalized end-of-life care planning.
Question 5 of 5
A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Acknowledging the decision respects the client’s autonomy.