ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is assessing an elderly patient receiving palliative care who exhibits Cheyne-Stokes respirations
Question 1 of 5
A nurse is assessing an elderly patient receiving palliative care who exhibits Cheyne-Stokes respirations. Which of the following characteristics should the nurse identify as indicative of this respiratory pattern?
Correct Answer: C
Rationale: Breathing ranging from very deep to very shallow with periods of apnea is indicative of Cheyne-Stokes respirations. This pattern of breathing is often seen in conditions such as heart failure, stroke, or brain damage.
Extract:
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices during client ambulation
Question 2 of 5
A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about the use of assistive devices during client ambulation. Which of the following instructions should the nurse include about assisting clients who use a cane?
Correct Answer: B
Rationale: When the client moves, he should move the cane forward first to provide stability and support for the next step.
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 caring for a patient with pneumonia who has been on oxygen therapy for several days
Question 4 of 5
A nurse is caring for a patient with pneumonia who has been on oxygen therapy for several days. Which of the following symptoms should the nurse recognize as a potential adverse effect of oxygen therapy?
Correct Answer: D
Rationale: Cracks in the oral mucous membranes can occur as a result of oxygen therapy. Oxygen can dry out the mucous membranes, leading to discomfort and potential cracking.
Extract:
A nurse is reinforcing home safety information with an older adult client
Question 5 of 5
A nurse is reinforcing home safety information with an older adult client. Which of the following statements indicates that the client needs further instruction?
Correct Answer: B
Rationale: Using a walker when going upstairs can be dangerous due to the risk of falls. It is recommended that individuals use handrails or assistance when navigating stairs, not a walker. This statement indicates that the client needs further instruction.