ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is caring for a client whose hand movement is limited
Question 1 of 5
A nurse is caring for a client whose hand movement is limited. What action should the nurse take to assist the client with feeding?
Correct Answer: A
Rationale: Providing an adaptive feeding device, such as a built-up utensil or a swivel spoon, can help clients with limited hand movement feed themselves independently. These devices are designed to make grasping and manipulating utensils easier, promoting independence and self-care.
Extract:
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum
Question 2 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.
Extract:
A nurse is discussing with a patient who has reported acute lower back pain after lifting heavy boxes
Question 3 of 5
A nurse is discussing with a patient who has reported acute lower back pain after lifting heavy boxes. What information should the nurse emphasize?
Correct Answer: B
Rationale: Using ice packs intermittently for 48 hours is a common recommendation for acute lower back pain. Ice can help reduce inflammation and numb the area, providing relief.
Extract:
A nurse is performing wound care for an older adult patient who has a stage I pressure ulcer
Question 4 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 about to take a client's oral temperature, but the client has just consumed some ice chips
Question 5 of 5
A nurse is about to take a client's oral temperature, but the client has just consumed some ice chips. What should the nurse do next?
Correct Answer: A
Rationale: The nurse should wait for 30 minutes and then measure the client's oral temperature. Consuming cold substances like ice chips can temporarily lower the oral temperature, leading to inaccurate readings.