ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via an infusion pump
Question 1 of 5
A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via an infusion pump. What factors should the nurse monitor when collecting data about the client receiving this therapy?
Correct Answer: B
Rationale: Monitoring the IV insertion site is crucial in clients receiving TPN. Infections and complications can occur at the site of insertion, so regular assessment is necessary.
Extract:
A nurse is caring for a patient who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied
Question 2 of 5
A nurse is caring for a patient who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied. Which of the following statements by the nurse is appropriate?
Correct Answer: A
Rationale: The nurse should prioritize the safety of the patient. If a patient is frequently attempting to remove his feeding tube, it could lead to complications such as infection or injury. Obtaining a prescription for restraints, after exploring alternatives, is appropriate.
Extract:
A nurse is performing wound care for an older adult patient who has a stage I pressure ulcer
Question 3 of 5
A nurse is performing wound care for an older adult patient who has a stage I pressure ulcer. Which of the following types of dressings should the nurse apply to the wound?
Correct Answer: C
Rationale: Transparent dressings are often used for stage I pressure ulcers. They provide a protective layer over the wound, promoting a moist environment and facilitating the healing process.
Extract:
A nurse is reviewing a client's prescriptions and notices that the dosage of one medication is three times the usual dose. The prescribing provider is unavailable for several days
Question 4 of 5
A nurse is reviewing a client's prescriptions and notices that the dosage of one medication is three times the usual dose. The prescribing provider is unavailable for several days. What should the nurse do next?
Correct Answer: B
Rationale: Requesting to speak with the provider who is covering for the prescriber is the most appropriate action in this situation. This allows the nurse to clarify the prescription and ensure the safety of the patient.
Extract:
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum
Question 5 of 5
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which statement best describes a stage 3 pressure ulcer?
Correct Answer: C
Rationale: A stage 3 pressure ulcer involves full-thickness skin loss that appears as a deep crater. The ulcer may extend into the subcutaneous tissue layer, but not through it to the underlying muscle or bone.