ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,D,E
Rationale: A: Prevents skin breakdown. D: Ensures early detection of issues. E: Ensures proper fit and circulation.
Question 2 of 5
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Music distracts from pain and promotes relaxation, a nonpharmacological approach.
Question 3 of 5
A nurse is preparing to clean a blood spill on a bedside table. Which of the following solutions should the nurse plan to use?
Correct Answer: D
Rationale: Chlorine bleach effectively kills bloodborne pathogens like HIV and hepatitis B.
Question 4 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measuring in the other arm confirms accuracy of the elevated reading.
Question 5 of 5
A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A pH of 6.5 suggests possible tube misplacement, requiring immediate reporting.