ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of care for a client who has aphasia following a stroke. Which of the following interventions should the nurse use to assist the client with communication?
Correct Answer: D
Rationale: Provide an artificial voice box: An artificial voice box, such as a speech-generating device, is more appropriate for clients who have lost their ability to speak due to laryngeal surgery or other conditions that affect vocal cord function, not aphasia. Avoid using facial gestures: Correct. Clients with aphasia have difficulty understanding and expressing language. Nonverbal communication, including facial gestures, can help convey meaning and support communication with the client. Speak to the client in a louder voice: Raising the volume of speech is not the most effective way to communicate with clients with aphasia. It is essential to speak clearly and at a normal volume, as loud speech may lead to misunderstanding or agitation. Ask the client close-ended questions: While open-ended questions might be challenging for clients with aphasia to answer, closed-ended questions that require only simple responses may not fully address their needs for self-expression and understanding. Using visual cues and gestures can be helpful.
Question 2 of 5
A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. The client verbalizes anger about having to take insulin. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking the client why they are angry may come across as confrontational and defensive, potentially escalating the situation. It does not promote open communication or therapeutic rapport. Sharing personal information about diabetes running in the nurse’s family is not relevant to the client’s feelings or concerns and may not be helpful in addressing the client’s anger. Correct. Acknowledging the client’s feelings of anger and offering to sit down and talk provides an opportunity for therapeutic communication. This response demonstrates empathy and a willingness to listen and address the client’s concerns about insulin therapy. While it is true that insulin therapy can help reduce the risk of complications in type 2 diabetes, this response may come across as dismissive of the client’s feelings and concerns. It does not address the emotional aspect of the client’s anger.
Question 3 of 5
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client’s spiritual needs?
Correct Answer: A
Rationale: Tell me what the afterlife means to you.' Correct. This response demonstrates active listening and encourages the client to share their beliefs and feelings about the afterlife, providing the client with an opportunity for spiritual expression and understanding. 'You should discuss the afterlife with your priest.' While discussing spiritual matters with a religious leader can be valuable, this response does not directly address the client’s request for the nurse to discuss the afterlife with them. 'Keep praying. A miracle could happen.' This response may not fully address the client’s need to discuss their beliefs about the afterlife. It focuses on hope but does not actively engage in the client’s spiritual conversation. 'Maybe your condition will lead you closer to God.' While offering comfort, this response may not meet the client’s request to discuss the afterlife directly.
Question 4 of 5
A nurse at a long-term care facility is caring for a client who is alert. Which of the following actions should the nurse take to protect the client’s privacy?
Correct Answer: C
Rationale: Place the client’s medication record on the bedside table while ambulating the client: This action does not relate to protecting the client’s privacy. It might actually compromise confidentiality by leaving sensitive information exposed. Give a report about the client’s status while standing at the nurses’ station: This action does not protect the client’s privacy. Discussing sensitive information in a public area can lead to breaches of confidentiality. Speak with the client about their condition after visitors have left: Correct. Protecting the client’s privacy is essential, and discussing personal health information in private with the client respects their right to confidentiality. Place a message board in the client’s room to post dietary information: This action does not relate to protecting the client’s privacy. Posting dietary information may be helpful for staff, but it doesn’t address the client’s privacy concerns.
Question 5 of 5
A nurse is assisting with the admission of a client who has active tuberculosis. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Restrict the client’s visitors to the immediate family: While tuberculosis is a communicable disease, restricting visitors to the immediate family is not a standard precautionary measure. Visitors should be educated about infection control measures and individuals with active tuberculosis may need to wear masks in certain situations. Assign the client to a negative pressure airflow room: Correct. Clients with active tuberculosis should be placed in a negative pressure airflow room to prevent the spread of infectious airborne particles to other areas of the facility. Negative pressure ensures that air from the room does not flow to other parts of the facility. Discard personal protective equipment outside the client’s room: Personal protective equipment (PPE) should be removed and discarded according to facility policy, which often includes removing PPE inside the client’s room and properly disposing of it afterward. The nurse should follow standard precautions for infection control. Have the client wear a HEPA mask during transportation throughout the facility: While wearing a HEPA mask may be necessary for clients with tuberculosis, it is not related to the initial admission process. Clients with active tuberculosis may be asked to wear a HEPA mask during transportation when they need to leave their negative pressure room.