ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has an NG tube set to low intermittent suction. Which of the following findings indicates hypomagnesemia?
Correct Answer: D
Rationale: Bone pain: Bone pain is not a characteristic finding of hypomagnesemia. Hypomagnesemia is an electrolyte imbalance, and bone pain is not a typical symptom associated with it. Drowsiness: Drowsiness may occur in hypomagnesemia, but it is not a specific or characteristic sign of this condition. Other electrolyte imbalances and medical conditions can also cause drowsiness. Bowel hypomotility: Hypomagnesemia can cause bowel hypomotility (decreased bowel movements), but it is not the most specific finding associated with this condition. Positive Chvostek’s sign: Correct. Hypomagnesemia can lead to neuromuscular irritability, and a positive Chvostek’s sign is a clinical manifestation of this condition. A positive Chvostek’s sign is elicited by tapping the facial nerve (at the level of the zygomatic arch) and observing the twitching of the facial muscles, which indicates increased neuromuscular excitability.
Question 3 of 5
A nurse is preparing to transfer a client from an acute care facility to a long-term care facility. Which of the following information should the nurse plan to include in the transfer report?
Correct Answer: C
Rationale: Discontinued medications do not provide actionable information for the receiving facility, as they are no longer relevant to the client's ongoing care. Including this information may lead to confusion about the current treatment plan. Resolved health conditions are not a priority to communicate because they do not require further monitoring or intervention. Focus should be placed on active health concerns and ongoing care needs. The frequency of vital sign collection is critical information for the receiving facility to maintain continuity of care and ensure appropriate monitoring of the client's condition. This detail helps guide the long-term care staff in managing the client's ongoing health needs effectively. Completed nursing interventions are not typically included in the transfer report as they have already been addressed and do not impact future care. The focus should remain on ongoing and future interventions required for the client.
Question 4 of 5
A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I will be sure to keep the crutch tips dry.' While it is important to keep the crutch tips dry to maintain traction and stability, this statement does not specifically address the correct technique for going up stairs with crutches. 'I will hold a crutch in each hand when sitting down.' This statement does not address the correct technique for going up stairs with crutches. However, it is a correct statement regarding sitting down with crutches. 'I will place my weight on my underarms.' Placing weight on the underarms is an incorrect crutch-walking technique. It can lead to nerve compression and injury. Instead, the client should bear weight on their hands and palms when using crutches. 'I will lead with my right leg when going upstairs.' Correct. When going up stairs with crutches, the client should lead with their unaffected leg (in this case, the right leg) first. The crutches are then advanced, one at a time, to the same step. This sequence ensures better stability and safety during stair climbing with crutches.
Question 5 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.)
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.