ATI LPN
V1 ATI PN Comprehensive Predictor 2020 Questions
Extract:
Question 1 of 5
A nurse in the newborn nursery is collecting data about a newborn's Moro reflex. Which of the following actions should the nurse take to elicit this reflex?
Correct Answer: C
Rationale: Clapping elicits the Moro reflex, causing arm extension and abduction.
Question 2 of 5
A nurse is collecting data from a 3-month-old infant who is 6 hr postoperative following a cleft palate repair. Which of the following pain rating tools should the nurse use?
Correct Answer: B
Rationale: The FLACC Scale assesses pain in preverbal infants via behavior.
Question 3 of 5
A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)
Correct Answer: A,B,E
Rationale: Pallor, immobility, and paresthesia are classic signs of compartment syndrome.
Question 4 of 5
A charge nurse is supervising a newly licensed nurse who is caring for a client who is experiencing auditory hallucinations and is refusing medication. The newly licensed nurse suggests placing the medication in the client's food to the charge nurse. Which of the following actions should the charge nurse take?
Correct Answer: C
Rationale: Clients have the right to refuse; covert administration is unethical.
Question 5 of 5
A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure.
Correct Answer: A
Rationale: Elevating legs reduces swelling, aiding proper stocking application.