ATI LPN Fundamentals Exam

Extract:

Client with hypertension and recent drooping facial features

Question 1 of 5

A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider, which of the following statements should the nurse include as part of the background component of the SBAR communication tool?

A. The client has developed drooping facial features.'B. The client has a history of hypertension.'C. The client is disoriented and pupils are slow to respond to light.'D. The client may benefit from a neurology consult.'

Correct Answer: B

Rationale: Hypertension history (
B) is background in SBAR. Drooping features (
A) are situation, disorientation (
C) is assessment, and consult (
D) is recommendation.

Extract:

Question 2 of 5

A nurse is reviewing the components of medication reconciliation with a newly licensed nurse. Which of the following information should the nurse include in the teaching?

A. A comprehensive list of medications is provided for the client at the time of discharge.'B. The list obtained from the client does not need to list medications that are not prescribed by the client's provider.'C. A nurse should write a verbal order in the medical record for medications the client was taking at home.'D. Complete the reconciliation process one time when the client is first admitted to the hospital.'

Correct Answer: A

Rationale: Discharge medication list (
A) ensures continuity. All medications (
B) must be listed, verbal orders (
C) are unsafe, and reconciliation (
D) is ongoing.

Extract:

Patient receiving 0900 medications

Question 3 of 5

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

A. At the end of her shiftB. Before she enters the room to give the medicationsC. Immediately following administration of the medicationsD. Whenever she has time

Correct Answer: C

Rationale: Immediate documentation (
C) ensures accuracy and informs other providers. End-of-shift (
A) risks forgetting, pre-administration (
B) assumes completion, and delayed (
D) increases errors.

Extract:

Client with new prescription for simvastatin

Question 4 of 5

A nurse is reinforcing teaching with a client who has a new prescription for simvastatin. Which of the following instructions should the nurse include?

A. Maintain a steady intake of green, leafy vegetablesB. Change positions slowly when rising from a chairC. Take this medication in the eveningD. Consume no more than 1 L/day of fluid

Correct Answer: C

Rationale: Evening dosing (
C) aligns with cholesterol production. Vegetables (
A) affect warfarin, position changes (
B) relate to hypotension, and fluid limits (
D) aren't needed.

Extract:

Client reporting chest pain, documented using SOAP model

Question 5 of 5

A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A. Client administered nitroglycerin 0.3 mg SL for chest painB. Client's skin is pale and diaphoreticC. Client's blood pressure is 182/98 mm HgD. Client reports chest pain after mowing lawn this morning

Correct Answer: D

Rationale: Client's pain report (
D) is subjective. Nitroglycerin (
A), skin (
B), and BP (
C) are objective findings.

ATI LPN Fundamentals Exam | Nurselytic

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