ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Preoxygenation prevents hypoxemia during suctioning, a critical step.
Choice A risks harm; suction should be 10-15 seconds.
Choice C is irrelevant.
Choice D damages tissue; suction applies on withdrawal.
Question 2 of 5
A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?
Correct Answer: B
Rationale: Sulfa allergy is critical clinical info for safe care.
Choice A is subjective.
Choice C is less urgent.
Choice D is relevant but secondary unless abnormal.
Question 3 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: A
Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.
Question 4 of 5
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A dark-colored stoma suggests ischemia or poor blood supply, requiring urgent reporting.
Choice A is normal initially post-surgery.
Choice C is expected early on.
Choice D is a typical finding as the stoma adjusts.
Question 5 of 5
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?
Correct Answer: C,D,E,B,A
Rationale: 1. Unlock and remove the inner cannula (
C) allows access for cleaning. 2. Scrub the inside and outside with a brush (
D) removes debris. 3. Wipe with a pipe cleaner (E) clears remaining secretions. 4. Cleanse the stoma site (
B) prevents infection. 5. Pour saline into the basin (
A) prepares solution (logically first, but listed last in explanation). Note: Sequence adjusted based on explanation, though A is typically preparatory.