ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?

A. Contact facility security to remove the nurse from the unit. B. Complete an incident report about the breach of confidentiality. C. Remind the nurse that only staff caring for the client may access the client's record. D. Tell the nurse that permission from the risk manager is required to view the client's record.

Correct Answer: C

Rationale: Reminding the nurse about confidentiality reinforces HIPAA compliance without escalating unnecessarily.

Question 2 of 5

A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A. Assess the pain level of a client who has received acetaminophen. B. Measure the intake and output of a client who has received furosemide. C. Check a client's peripheral IV site for redness or swelling. D. Reinforce teaching with a client about crutch-gait walking.

Correct Answer: B

Rationale: Measuring intake and output is within the AP's scope; assessment and teaching are nurse responsibilities.

Question 3 of 5

A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?

A. Speech-language pathologist B. Respiratory therapist C. Occupational therapist D. Registered dietitian

Correct Answer: A

Rationale: A speech-language pathologist specializes in evaluating and treating swallowing difficulties like dysphagia.

Question 4 of 5

A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?

A. Apply the belt restraint over the client's gown. B. Check the client's skin integrity every 4 hr. C. Tie the belt restraint to the side rail of the bed. D. Make sure four fingers fit between the restraint and the client's body.

Correct Answer: A

Rationale: Applying the restraint over the gown prevents skin irritation and ensures proper fit per safety guidelines.

Question 5 of 5

A nurse at a long-term care facility is caring for an older adult client who has dementia and is at risk for malnutrition. Which of the following actions should the nurse take to promote an increase in food intake?

A. Limit snacks between meals. B. Restrict visitors during meals. C. Provide the client with three large meals each day. D. Provide the client with finger foods for meals.

Correct Answer: D

Rationale: Finger foods are easier for dementia clients to manage, encouraging self-feeding and intake.

ATI LPN fundamentals 2023 | Nurselytic

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