LPN ATI Fundamental Exam | Nurselytic

Correct Answer: C

Rationale: Allowing the client to continue taking medications as they did at home without verifying the prescriptions can be unsafe and is not within the scope of nursing practice. Taking the medications from the client and discarding them is inappropriate. The nurse should not dispose of the client's medications without proper assessment and verification. Correct. The nurse should compare the medications the provider has prescribed with the medications the client brought from home to ensure accuracy and safety. This is a crucial step during admission to prevent errors or omissions in the medication regimen. Placing the medications in the medication cart and administering them without verification is unsafe and against best practices for medication administration.

Correct Answer: C

Rationale: Discontinued medications do not provide actionable information for the receiving facility, as they are no longer relevant to the client's ongoing care. Including this information may lead to confusion about the current treatment plan. Resolved health conditions are not a priority to communicate because they do not require further monitoring or intervention. Focus should be placed on active health concerns and ongoing care needs. The frequency of vital sign collection is critical information for the receiving facility to maintain continuity of care and ensure appropriate monitoring of the client's condition. This detail helps guide the long-term care staff in managing the client's ongoing health needs effectively. Completed nursing interventions are not typically included in the transfer report as they have already been addressed and do not impact future care. The focus should remain on ongoing and future interventions required for the client.

Correct Answer: C

Rationale: The client's statement reflects feelings of confusion but does not indicate immediate harm or danger to themselves. It requires therapeutic communication and support but not immediate action. The client's statement expresses concern about their future relationships but does not indicate immediate harm or danger to themselves. It requires support and counseling but not immediate action. Correct. The client's statement suggests significant emotional distress and a potential risk for self-harm or suicidal ideation. Immediate action is required to assess the client's safety and provide appropriate interventions, such as involving a mental health professional. The client's statement indicates dissatisfaction or regret about the mastectomy decision but does not indicate immediate harm or danger to themselves. It requires supportive communication and addressing concerns but not immediate action.

Correct Answer: D

Rationale: Cantaloupe is relatively high in potassium and is not a suitable choice for a low-potassium diet. Baked potatoes are high in potassium and should be avoided in a low-potassium diet. Banana chips are also high in potassium and should not be included in a low-potassium diet. Correct. Applesauce is a low-potassium food and is an appropriate choice for a client with chronic kidney disease following a low-potassium diet.

Correct Answer: C

Rationale: While explaining the negative consequences of refusal is important, it may not change the client’s decision, and respect for the client’s autonomy must be upheld. Discussing the treatment with the client’s partner without the client’s consent may breach patient confidentiality and privacy. Correct. The nurse should document the client’s refusal of the medical treatment in the client’s medical record. This documentation is essential for legal and ethical purposes and to ensure that the refusal is adequately communicated to the healthcare team. Trying to convince the client to undergo the treatment is not appropriate and may violate the principle of informed consent. The client has the right to refuse treatment after being adequately informed of the risks and benefits.