ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has insomnia. Which of the following actions should the nurse take?

A. Administer prescribed diuretics in the evening B. Provide the client with snug-fitting nightwear C. Keep the door to the client's room closed D. Use overhead lighting when checking equipment

Correct Answer: C

Rationale: Closing the door reduces noise, promoting sleep; other options may disrupt it.

Question 2 of 5

A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 5

Rationale: 55 lb = 25 kg; 50 mg/kg/day = 1250 mg/day; 1250 mg / 4 doses = 312.5 mg/dose; 312.5 mg Ã· 125 mg/5 mL = 12.5 mL/day; 12.5 Ã· 4 = 3.125 mL, rounded to 5 mL.

Question 3 of 5

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

A. Reposition the client once every 4 hr. B. Provide oral care to the client once every 8 hr. C. Place the head of the client's bed flat. D. Use a fan to circulate air in the client's room.

Correct Answer: D

Rationale: A fan improves air movement, easing dyspnea in end-of-life care.

Question 4 of 5

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Keep their arms at the sides of their body with their hands in a relaxed position. B. Interlock their fingers and hold their hands away from their body above their waist. C. Clasp their hands together in a relaxed position behind their body at their waist. D. Place one hand over the other against the part of the gown covering their upper body.

Correct Answer: B

Rationale: Interlocking fingers above the waist keeps hands sterile and away from contamination.

Question 5 of 5

A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps? (Move the steps placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Wipe the inside of the inner cannula with a folded pipe cleaner.

Unlock and remove the inner cannula.

Scrub the inside and outside of the inner cannula with a small brush

Cleanse the stoma site with 0.9% sodium chloride solution.

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

Correct Answer: E,B,C,A,D

Rationale: E: Prepare solution. B: Remove cannula. C: Scrub cannula. A: Wipe cannula. D: Cleanse stoma ensures sterile technique.

ATI LPN fundamentals 2023 | Nurselytic

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