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: Placing a pillow between the legs maintains spinal alignment and reduces pressure on the surgical site during logrolling, essential post-laminectomy.
Choice A isn’t directly relevant to logrolling safety.
Choice B isn’t necessary as semi-Fowler’s isn’t used for logrolling.
Choice C is incorrect as arms above the head don’t aid alignment and may stress the site.
Question 2 of 5
A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Discussing thoughts addresses distraction, fostering communication and understanding.
Choice A is judgmental.
Choice C bypasses the client.
Choice D doesn’t explore the distraction’s cause.
Question 3 of 5
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Increased constipation (
C), decreased muscle mass (
D), and decreased cough reflex (E) are aging changes due to reduced motility, sarcopenia, and reflex sensitivity.
Choice A is incorrect as circulation often decreases.
Choice B is incorrect as saliva production typically decreases.
Question 4 of 5
A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?
Correct Answer: D
Rationale: A cotton-tipped applicator aids gentle wound cleaning and treatment application for a stage 4 injury.
Choice A secures dressings, not primary care.
Choice B is for oral use.
Choice C is for irrigation, less essential here.
Question 5 of 5
A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?
Correct Answer: A
Rationale: Type 1 diabetes increases cardiovascular risk via atherosclerosis.
Choice B relates to BP regulation, not a direct risk.
Choice C is normal BMI.
Choice D affects bones, not cardiovascular health.