ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has recently undergone a total bilateral mastectomy. Which of the following statements by the client requires immediate action by the nurse?
Correct Answer: C
Rationale: The client's statement reflects feelings of confusion but does not indicate immediate harm or danger to themselves. It requires therapeutic communication and support but not immediate action. The client's statement expresses concern about their future relationships but does not indicate immediate harm or danger to themselves. It requires support and counseling but not immediate action. Correct. The client's statement suggests significant emotional distress and a potential risk for self-harm or suicidal ideation. Immediate action is required to assess the client's safety and provide appropriate interventions, such as involving a mental health professional. The client's statement indicates dissatisfaction or regret about the mastectomy decision but does not indicate immediate harm or danger to themselves. It requires supportive communication and addressing concerns but not immediate action.
Question 2 of 5
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: This can help prevent nausea.' Turning, coughing, and deep breathing exercises are not primarily aimed at preventing nausea. These exercises are designed to maintain lung function and prevent respiratory complications. 'This can help prevent pneumonia.' Correct. Turning, coughing, and deep breathing exercises are essential postoperative activities that help prevent the development of pneumonia by promoting lung expansion, clearing mucus, and preventing atelectasis. 'I should do this every 4 hours.' The frequency of turning, coughing, and deep breathing exercises may vary based on individual client needs and surgical procedures. This statement does not demonstrate a specific understanding of the appropriate timing for these exercises. 'I should do this to keep my heart from beating too fast.' Turning, coughing, and deep breathing exercises are not directly related to heart rate regulation. They are focused on lung expansion and airway clearance.
Question 3 of 5
A nurse is reinforcing dietary teaching with a client who has chronic kidney disease and requires a low-potassium diet. Which of the following food by the client demonstrates an understanding of the teaching?
Correct Answer: D
Rationale: Cantaloupe is relatively high in potassium and is not a suitable choice for a low-potassium diet. Baked potatoes are high in potassium and should be avoided in a low-potassium diet. Banana chips are also high in potassium and should not be included in a low-potassium diet. Correct. Applesauce is a low-potassium food and is an appropriate choice for a client with chronic kidney disease following a low-potassium diet.
Question 4 of 5
A nurse is assisting with the admission of a client who has brought their medications to the facility. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Allowing the client to continue taking medications as they did at home without verifying the prescriptions can be unsafe and is not within the scope of nursing practice. Taking the medications from the client and discarding them is inappropriate. The nurse should not dispose of the client's medications without proper assessment and verification. Correct. The nurse should compare the medications the provider has prescribed with the medications the client brought from home to ensure accuracy and safety. This is a crucial step during admission to prevent errors or omissions in the medication regimen. Placing the medications in the medication cart and administering them without verification is unsafe and against best practices for medication administration.
Question 5 of 5
A nurse is assisting with the plan of care for a client who has aphasia following a stroke. Which of the following interventions should the nurse use to assist the client with communication?
Correct Answer: D
Rationale: Provide an artificial voice box: An artificial voice box, such as a speech-generating device, is more appropriate for clients who have lost their ability to speak due to laryngeal surgery or other conditions that affect vocal cord function, not aphasia. Avoid using facial gestures: Correct. Clients with aphasia have difficulty understanding and expressing language. Nonverbal communication, including facial gestures, can help convey meaning and support communication with the client. Speak to the client in a louder voice: Raising the volume of speech is not the most effective way to communicate with clients with aphasia. It is essential to speak clearly and at a normal volume, as loud speech may lead to misunderstanding or agitation. Ask the client close-ended questions: While open-ended questions might be challenging for clients with aphasia to answer, closed-ended questions that require only simple responses may not fully address their needs for self-expression and understanding. Using visual cues and gestures can be helpful.