ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who follows a lacto-vegetarian diet. Which of the following food choices should the nurse recommend?
Correct Answer: D
Rationale: Cheese fits a lacto-vegetarian diet, including dairy but no meat or seafood.
Choices A, B, and C (chicken, clam chowder, tuna) are excluded as they contain meat or fish.
Question 2 of 5
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; it’s the priority action.
Choice B delays immediate assessment.
Choice C is premature before verification.
Choice D is secondary to confirming the current status.
Question 3 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: Talking about thoughts invites dialogue, addressing distraction effectively.
Choice A risks defensiveness.
Choice C undermines autonomy.
Choice D misses underlying concerns.
Question 4 of 5
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A securing device prevents movement and trauma, reducing infection risk.
Choice A risks contamination; sterile sampling is preferred.
Choice C causes reflux, increasing infection risk.
Choice D isn’t routine unless indicated, to avoid infection.
Question 5 of 5
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Preoxygenation prevents hypoxemia during suctioning, a critical step.
Choice A risks harm; suction should be 10-15 seconds.
Choice C is irrelevant.
Choice D damages tissue; suction applies on withdrawal.