ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Restricting visitors reduces overstimulation, promoting calm.
Choice A increases stress.
Choice B disrupts continuity.
Choice C may overwhelm clients.
Question 2 of 5
A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Discussing thoughts addresses distraction, fostering communication and understanding.
Choice A is judgmental.
Choice C bypasses the client.
Choice D doesn’t explore the distraction’s cause.
Question 3 of 5
A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Witnessing the client's signature on a consent form ensures informed, express consent for the procedure, required for invasive actions like catheter insertion.
Choice A is incorrect as prior consent may not apply to the current procedure.
Choice B is incorrect because co-signing doesn’t verify client understanding.
Choice C is incorrect as verbal consent alone isn’t sufficient for invasive procedures; written consent is standard.
Question 5 of 5
A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Informing about consequences educates the client, aiding informed choice; it’s the first step.
Choice A follows discussion.
Choice B is procedural, not immediate.
Choice D is later if refusal persists.