ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 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: A
Rationale: Securing the catheter prevents movement and reduces infection risk.
Question 2 of 5
A nurse is caring for a postoperative male client in the surgical unit. Click to highlight the documentation in the client's medical record that requires further action by the nurse. Select all that apply
Correct Answer: A,B,D
Rationale: A: Low respiratory rate suggests opioid depression. B: Low SaO2 indicates hypoxemia. D: Morphine dose may need reassessment due to side effects.
Question 3 of 5
A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client indicates an understanding of the instructions?
Correct Answer: A
Rationale: Slightly bent elbows ensure stability and comfort when using a walker.
Question 4 of 5
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?
Correct Answer: A
Rationale: Restricting visitors minimizes noise and stress, promoting a healing environment.
Question 5 of 5
A nurse is caring for a 65-year-old male client in the emergency department. The client is presenting with symptoms of a potential cardiac event and has been admitted for further evaluation. Complete the following sentence by selecting the most appropriate actions based on the client’s current status. The nurse should first ___ then ___.
Correct Answer: A,B
Rationale: A: Notifying the provider addresses potential cardiac event urgency. B: IV line ensures rapid medication access.