ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A charge nurse is reinforcing teaching with an assistive personnel (AP) about performing pulse oximetry. Which of the following information should the nurse include in the teaching?
Correct Answer: C
Rationale: Select an alternate site to place the oximetry probe if the capillary refill is less than 2 seconds: Capillary refill time is not directly related to the placement of the pulse oximetry probe. Capillary refill is assessed to evaluate peripheral perfusion. Use an adhesive oximetry probe for a client who has a latex allergy: The type of probe used for pulse oximetry is important, especially for clients with latex allergies. However, the correct action is to use a nonlatex probe or a probe that is compatible with the client’s allergy, not necessarily an adhesive probe. Remove polish from the client’s fingernail before applying the oximetry probe: Correct. Nail polish can interfere with the accuracy of pulse oximetry readings, as it may affect light transmission through the nail bed. It is essential to remove nail polish or artificial nails before applying the probe. Lubricate the tip of the oximetry probe: Lubricating the tip of the oximetry probe is not necessary for proper use and may interfere with the accuracy of readings.
Question 2 of 5
A nurse is collecting data on four clients. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Heart rate 62/min: A heart rate of 62 beats per minute is within the normal range for many adults and may not require immediate reporting unless it is a significant change from the client’s baseline. Urine output of 200 mL per 8 hr: Correct. A urine output of 200 mL in 8 hours is considered low and may indicate inadequate kidney perfusion or function. It should be reported to the provider as it could be a sign of renal impairment or dehydration. Pulse oximetry 95% on room air: A pulse oximetry reading of 95% on room air is within the normal range for oxygen saturation in most healthy individuals. It does not require immediate reporting unless the client has a specific condition or baseline that warrants concern. BP 112/76 mm Hg: Blood pressure of 112/76 mm Hg is within the normal range for many adults and may not require immediate reporting unless there are specific concerns related to the client’s medical history or condition.
Question 3 of 5
A nurse is explaining ethics and values to a newly licensed nurse. The nurse should explain that allowing a client to make a decision about a treatment is an example of which of the following ethical principles?
Correct Answer: D
Rationale: Confidentiality: Confidentiality refers to the duty to respect and protect the client’s private information and not disclose it without the client’s consent or appropriate legal authorization. Nonmaleficence: Nonmaleficence means 'do no harm.' It is the ethical principle that requires healthcare professionals to avoid causing harm to their clients and to balance potential benefits with possible risks. Accountability: Accountability is the ethical principle that refers to the responsibility of healthcare professionals to answer for their actions and decisions in providing care to clients. Autonomy: Correct. Autonomy is the ethical principle that respects a person’s right to make their own decisions about their healthcare. Allowing a client to make decisions about their treatment plan is an example of promoting autonomy and respecting their right to self-determination.
Question 4 of 5
A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Restrict the client’s visitors to the immediate family: While tuberculosis is a communicable disease, restricting visitors to the immediate family is not a standard precautionary measure. Visitors should be educated about infection control measures and individuals with active tuberculosis may need to wear masks in certain situations. Assign the client to a negative pressure airflow room: Correct. Clients with active tuberculosis should be placed in a negative pressure airflow room to prevent the spread of infectious airborne particles to other areas of the facility. Negative pressure ensures that air from the room does not flow to other parts of the facility. Discard personal protective equipment outside the client’s room: Personal protective equipment (PPE) should be removed and discarded according to facility policy, which often includes removing PPE inside the client’s room and properly disposing of it afterward. The nurse should follow standard precautions for infection control. Have the client wear a HEPA mask during transportation throughout the facility: While wearing a HEPA mask may be necessary for clients with tuberculosis, it is not related to the initial admission process. Clients with active tuberculosis may be asked to wear a HEPA mask during transportation when they need to leave their negative pressure room.
Question 5 of 5
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Administer an analgesic 30 min before starting the procedure: Correct. Before performing wound irrigation, it is essential to provide pain relief to the client. Administering an analgesic 30 minutes before the procedure will help manage pain during wound irrigation. Hold the syringe 5 cm (2 in) above the upper end of the wound: This action does not contribute to proper wound irrigation. The nurse should direct the irrigation solution to the wound site to cleanse it effectively. Place the irrigation solution in a basin of cool water: Using cool water is not the best practice for wound irrigation. The irrigation solution should be at room temperature or a temperature specified by the healthcare provider. Perform the wound irrigation with a 10 mL syringe with an angiocatheter: Wound irrigation typically requires a larger volume of fluid to adequately cleanse the wound. A 10 mL syringe may not be sufficient, and using an angiocatheter is not appropriate for wound irrigation. A larger syringe or irrigation solution bag with an appropriate wound irrigation tool is usually used.