ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)
Correct Answer: C,D,E
Rationale: C: Visitor injury requires reporting. D: Client injury from equipment is reportable. E: Fall incidents must be documented for safety.
Question 2 of 5
A nurse is assisting a client who is 4 hr postoperative to get out of bed. The client states, “Do not touch me! I can get up by myself.†Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Offering standby assistance respects the client's autonomy while ensuring safety.
Question 3 of 5
A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?
Correct Answer: B
Rationale: Reducing background noise enhances the client's ability to hear and understand communication.
Question 4 of 5
A nurse is collecting data from a client who is immobile and has a potential deep vein thrombosis. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Calf swelling is a classic sign of deep vein thrombosis, requiring immediate reporting for intervention.
Question 5 of 5
A nurse is coordinating the care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse not assign to the AP?
Correct Answer: C
Rationale: Assessing pain requires nursing judgment and is outside the AP's scope; other tasks are appropriate.