ATI LPN
ATI LPN n117 fundamentals exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied. Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: Obtaining a physician's order is required for restraints, used only as a last resort.
Question 2 of 5
A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Covering with a moist sterile dressing protects the wound and prevents infection in evisceration.
Question 3 of 5
A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting?
Correct Answer: A
Rationale: Dehydration is a significant risk from vomiting due to fluid and electrolyte loss.
Question 4 of 5
A nurse is collecting data on a client who has impaired mobility. The nurse should monitor the client for a pressure injury due to which of the following factors?
Correct Answer: D
Rationale: Decreased circulation from immobility reduces tissue oxygenation, increasing pressure injury risk.
Question 5 of 5
A nurse is caring for a client who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied. Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: Obtaining a physician's order is required for restraints, used only as a last resort.