ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who speaks a different language than the nurse and is 5 hours postoperative. Which of the following actions should the nurse take to determine the client's level of pain?
Correct Answer: C
Rationale: Using a communication board is an effective way to assess the client's pain level and location, overcoming the language barrier. The FLACC scale is for infants/children, AP interpretation is unreliable, and the FACES scale may not be culturally understood.
Question 2 of 5
A nurse is reinforcing teaching with a client who has a new Westerly syndrome. Which of the following statements by the client demonstrates an understanding of the teaching?
Correct Answer: B
Rationale: Bananas are high in potassium, which can affect heart rhythm and should be avoided with Westerly syndrome. Broccoli should be moderated due to vitamin C, mushrooms are safe, and popcorn's sodium content should be limited.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: D
Rationale: Raising all four side rails of a client's bed is a safety hazard because it increases the risk of injury if the client tries to climb over them. It also restricts the client's mobility and may cause feelings of isolation and imprisonment. It is a violation of the client's rights and dignity. A weight-sensitive sensor mat is a safety measure to prevent falls, a buzzing sensation from a TENS unit is expected, and a capillary refill of less than 2 seconds indicates good perfusion.
Question 4 of 5
A nurse is assisting in the transfer of a client who has left-sided weakness from a bed to a chair. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Flexing hips and knees helps the client use their stronger leg muscles and maintain balance. Standing on the stronger side, raising the bed too high, or pivoting incorrectly can increase fall risk.
Question 5 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.