ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the trash can. What is the sequence of actions that the nurse should take? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
Order the Items
Source Container
Correct Answer: A,B,C,D
Rationale: Sequence of Actions: A: Evacuate clients from the area. This is the first and most crucial step to ensure the safety of all individuals in the vicinity of the fire. B: Pull the lever on the fire alarm box. Once the immediate area is clear of individuals, the next step is to alert the rest of the building by activating the fire alarm system. C: Close the fire doors on the unit. This action helps to contain the fire and prevent smoke from spreading to other areas, which can be vital in slowing the fire’s progress and safeguarding other parts of the building. D: Use a fire extinguisher to put out the fire. If the fire is small and contained, and the nurse is trained in its use, a fire extinguisher can be used to douse the flames, preventing further damage.
Question 2 of 5
A nurse at a long-term care facility is caring for a client who is alert. Which of the following actions should the nurse take to protect the client’s privacy?
Correct Answer: C
Rationale: Place the client’s medication record on the bedside table while ambulating the client: This action does not relate to protecting the client’s privacy. It might actually compromise confidentiality by leaving sensitive information exposed. Give a report about the client’s status while standing at the nurses’ station: This action does not protect the client’s privacy. Discussing sensitive information in a public area can lead to breaches of confidentiality. Speak with the client about their condition after visitors have left: Correct. Protecting the client’s privacy is essential, and discussing personal health information in private with the client respects their right to confidentiality. Place a message board in the client’s room to post dietary information: This action does not relate to protecting the client’s privacy. Posting dietary information may be helpful for staff, but it doesn’t address the client’s privacy concerns.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care?
Correct Answer: B
Rationale: Placing the client in a room with another client who has pharyngitis is not recommended. Pharyngitis can be caused by various different pathogens, not just streptococci. Co-housing clients with different infections can lead to cross-infection, complicating both clients' conditions.
Therefore, this choice is not the best option. Ensuring that the client wears a surgical mask during transportation throughout the facility is the correct choice. Streptococcal infections are spread through respiratory droplets. A surgical mask can help prevent the spread of these droplets, protecting other clients and healthcare workers in the facility. This is a standard precaution in infection control. Limiting the client's visitors to visitations of 30 minutes is not necessarily beneficial. The duration of the visit does not significantly impact the risk of transmission as much as the precautions taken during the visit, such as hand hygiene and wearing a mask.
Therefore, while limiting visitation time might reduce exposure, it is not the most effective measure to prevent the spread of infection. Providing the client a room with negative pressure airflow of six air exchanges per hour is not necessary for a client with a streptococcal infection. Negative pressure rooms are typically used for clients with airborne diseases, such as tuberculosis. A streptococcal infection is spread through droplets, not airborne transmission, so a negative pressure room would not provide any additional benefit.
Question 4 of 5
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Leaning on the crutches for support while standing still is not the correct way to use crutches. It can lead to discomfort and instability. The client should advance the unaffected leg first while climbing stairs when using crutches. This technique ensures better stability and safety during stair ascent. Standing 5 cm (2 in) from the front of a chair before sitting is not directly related to the use of crutches. Bearing weight on the axilla while standing in the tripod position is not the correct way to use crutches. The tripod position is used for resting, not weight bearing.
Question 5 of 5
A nurse is assisting with the plan of care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Correct Answer: D
Rationale: Ensuring a client can use crutches before discharge requires clinical judgment and skilled assessment, so it should not be delegated to assistive personnel. Checking a client's ability to swallow following a stroke involves assessing the client's airway and potential risk of aspiration, which is a complex nursing task and should not be delegated to assistive personnel. Obtaining a client's pain rating prior to physical therapy requires understanding the client's pain and its management, which should not be delegated to assistive personnel. Assisting a client to get out of bed after a breathing treatment can be safely delegated to assistive personnel. It involves helping the client move, which is within the scope of their training.