ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?
Correct Answer: D
Rationale: A pillow between the legs supports spinal alignment and minimizes surgical site stress during logrolling.
Choice A doesn’t enhance logrolling safety.
Choice B is irrelevant as semi-Fowler’s isn’t part of logrolling.
Choice C risks misalignment and isn’t recommended.
Question 2 of 5
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; it’s the priority action.
Choice B delays immediate assessment.
Choice C is premature before verification.
Choice D is secondary to confirming the current status.
Question 3 of 5
A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Gladness to choose care shows comprehension of autonomy in directives.
Choice A is a misconception; changes are allowed.
Choice B oversimplifies.
Choice D is false; no delay applies.
Question 4 of 5
A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.
Question 5 of 5
A nurse is reinforcing discharge teaching about fecal occult blood testing with a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: Urinating prior to collection prevents urine contamination of the stool sample, ensuring test accuracy.
Choice A is incorrect as vitamin C typically doesn’t affect this test unless specified.
Choice B is unnecessary as pork doesn’t universally impact results.
Choice C is incorrect; a small sample is sufficient, and excess can skew results.