ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?
Correct Answer: B
Rationale: Oral temperature elevated at 0800' is specific and accurate, indicating an abnormal finding that requires monitoring. The other options lack specificity or detail required for proper documentation.
Question 2 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: A
Rationale: The statement 'I need to learn how to perform a dressing change on my leg' reflects acceptance of the limb loss and a proactive approach to self-care. The other statements indicate denial, depression, or difficulty adjusting, which are not signs of acceptance.
Question 3 of 5
A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?
Correct Answer: B
Rationale: Chlorine bleach is effective against Clostridium difficile spores, unlike alcohol, chlorhexidine, or triclosan, which are insufficient for this purpose.
Question 4 of 5
A nurse is caring for a client who is flushed and has a temperature of 38.7° C (101.7° F). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing blankets helps the client lose heat and reduce fever. Cold packs, fans, or alcohol baths can cause complications like shivering or toxicity.
Question 5 of 5
A nurse is assisting with the admission of a client. Which of the following statements should the nurse make to demonstrate the principle of advocacy?
Correct Answer: D
Rationale: I will let you make decisions about your health care' supports the client's autonomy, a key aspect of advocacy. The other statements reflect confidentiality, accountability, and communication, respectively.