ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A home health nurse is conducting a home-safety risk appraisal for an older adult client
Question 1 of 5
A home health nurse is conducting a home-safety risk appraisal for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply.)
Correct Answer: B,C,E
Rationale: B. Throw rugs are a safety risk as they can cause tripping and falling. C. A water heater temperature of 54.4°C (130° F) can cause burns. E. Electric cords behind furniture are a tripping and fire hazard.
Extract:
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%
Question 2 of 5
A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. What is the first action the nurse should take?
Correct Answer: C
Rationale: Raising the head of the bed is the first action the nurse should take. This position can help to improve lung expansion and oxygenation.
Extract:
A home health nurse is conducting a home-safety risk appraisal for an older adult client
Question 3 of 5
A home health nurse is conducting a home-safety risk appraisal for an older adult client. Which of the following findings should the nurse identify as a safety risk for the client? (Select all that apply.)
Correct Answer: B,C,E
Rationale: B. Throw rugs are a safety risk as they can cause tripping and falling. C. A water heater temperature of 54.4°C (130° F) can cause burns. E. Electric cords behind furniture are a tripping and fire hazard.
Extract:
A nurse is caring for a school-age child with respiratory failure due to pneumonia
Question 4 of 5
A nurse is caring for a school-age child with respiratory failure due to pneumonia. Which position should the nurse encourage to allow for maximal lung expansion?
Correct Answer: D
Rationale: The upright position is typically recommended for a child with respiratory failure due to pneumonia. Sitting upright can help to maximize lung expansion and improve oxygenation.
Extract:
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home
Question 5 of 5
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure the client's safety and proper use of the walker, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The client should lift the walker and place it down in front of her. This provides stability and support as the client moves, ensuring balance and preventing falls.