ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is about to take a client's oral temperature, but the client has just consumed some ice chips
Question 1 of 5
A nurse is about to take a client's oral temperature, but the client has just consumed some ice chips. What should the nurse do next?
Correct Answer: A
Rationale: The nurse should wait for 30 minutes and then measure the client's oral temperature. Consuming cold substances like ice chips can temporarily lower the oral temperature, leading to inaccurate readings.
Extract:
A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet
Question 2 of 5
A nurse is caring for a postoperative patient following abdominal surgery. The surgeon has prescribed a clear liquid diet. Which of the following items should the nurse include on the patient's lunch tray?
Correct Answer: A
Rationale: Cranberry juice is an acceptable component of a clear liquid diet. Clear liquid diets are often prescribed postoperatively as they are easy to digest and leave no residue in the digestive tract.
Extract:
A nurse is caring for a client who is confused and has been placed in wrist restraints
Question 3 of 5
A nurse is caring for a client who is confused and has been placed in wrist restraints. Which of the following actions should the nurse take while caring for this client? (Select all that apply.)
Correct Answer: A,C,E
Rationale: A. Checking that the client's restraints are secured with a half-bow knot is a good practice for quick release. C. Ensuring that the client's wrists are padded prevents skin breakdown and nerve damage. E. Documenting client care every 15 minutes includes the client's behavior, restraint details, and response.
Extract:
A nurse is assisting a charge nurse with room assignments. There is one private room available on the unit to accommodate a client who needs airborne precautions
Question 4 of 5
A nurse is assisting a charge nurse with room assignments. There is one private room available on the unit to accommodate a client who needs airborne precautions. Which client should be assigned to this room?
Correct Answer: A
Rationale: A client who has community-acquired pneumonia with copious respiratory secretions should be assigned to the private room. This is because pneumonia, especially with copious respiratory secretions, can be transmitted through the air, and therefore requires airborne precautions.
Extract:
A nurse is discussing with a patient who has reported acute lower back pain after lifting heavy boxes
Question 5 of 5
A nurse is discussing with a patient who has reported acute lower back pain after lifting heavy boxes. What information should the nurse emphasize?
Correct Answer: B
Rationale: Using ice packs intermittently for 48 hours is a common recommendation for acute lower back pain. Ice can help reduce inflammation and numb the area, providing relief.