ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Correct Answer: D
Rationale: Ensuring a client can use crutches before discharge requires clinical judgment and skilled assessment, so it should not be delegated to assistive personnel. Checking a client's ability to swallow following a stroke involves assessing the client's airway and potential risk of aspiration, which is a complex nursing task and should not be delegated to assistive personnel. Obtaining a client's pain rating prior to physical therapy requires understanding the client's pain and its management, which should not be delegated to assistive personnel. Assisting a client to get out of bed after a breathing treatment can be safely delegated to assistive personnel. It involves helping the client move, which is within the scope of their training.
Question 2 of 5
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keep your knees in a locked position when standing for prolonged periods.' This instruction is incorrect. Keeping knees locked can lead to muscle fatigue and increased risk of injury during prolonged standing. 'Bend at the waist when lifting a heavy object.' This instruction is incorrect. Bending at the waist during lifting can strain the lower back and increase the risk of back injuries. 'Keep your feet close together when lifting a heavy object.' This instruction is incorrect. Keeping feet close together can make the base unstable and increase the risk of falling or losing balance during lifting. 'When lifting a heavy object, keep it close to your body.' Correct. Keeping the heavy object close to the body while lifting helps reduce strain on the back and minimizes the risk of injury. This technique allows the body’s core muscles to better support the weight.
Question 3 of 5
A nurse is reinforcing dietary teaching with a client who has chronic kidney disease and requires a low-potassium diet. Which of the following food by the client demonstrates an understanding of the teaching?
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.
Question 4 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.
Question 5 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.