ATI LPN Fundamentals Exam 1

Extract:

Question 1 of 5

A nurse is caring for a client who is experiencing suicidal thoughts. Which of the following actions should the nurse take?

A. Place the client on 12 hour observation.B. Encourage visitors to bring items to the client.C. Encourage visitors for the client at any time.D. Remove harmful objects from the client's room.

Correct Answer: D

Rationale:
Choice D is correct because removing harmful objects prevents self-harm, a priority.
Choice A is insufficient, and

Choices B and C risk safety.

Question 2 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's skin is pale and diaphoreticB. Client reports chest pain after mowing lawn this morningC. Client administered nitroglycerin 0.3 mg SL for chest painD. Client's blood pressure is 182/98 mm Hg

Correct Answer: B

Rationale:
Choice B is correct because subjective data includes client-reported symptoms.

Choices A and D are objective, and
Choice C is a plan intervention.

Question 3 of 5

A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to use to identify the client?

A. Telephone numberB. Room numberC. Medical conditionD. Home address

Correct Answer: A

Rationale:
Choice A is correct because telephone number is a unique identifier per safety standards.

Choices B, C, and D are not person-specific or unique.

Question 4 of 5

A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following describes standards of practice?

A. Provides competencies for the nurses to achieve before licensure.B. Establishes a protocol for care to provide for a specific health problem.C. Specifies that nurses provide care that reflects current and competent level of behavior when providing client care.D. Lists a set of skills that all nurses should be competent in performing, outlines responsibilities that every nurse is expected to provide regardless of their role.

Correct Answer: C

Rationale:
Choice C is correct because standards of practice specify competent care delivery.
Choice A relates to education,
Choice B to guidelines, and
Choice D to scope of practice.

Question 5 of 5

A graduate nurse is reviewing information about the NCLEX exam on the National Council of State Boards of Nursing (NCSBN) website. Which of the following information should the nurse identify about the NCLEX exam?

A. The minimum number of items on the exam is 65.B. The maximum number of items on the exam is 165.C. All 50 states have the same criteria for passing the exam.D. An 80% confidence rule is used for passing the exam.

Correct Answer: D

Rationale:
Choice D is correct because NCLEX uses an 80% confidence rule for passing via CAT.

Choices A, B, and C are outdated or false per current NCSBN data.

ATI LPN Fundamentals Exam 1 | Nurselytic

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