ATI LPN
ATI PN Fundamentals Updated 2023 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: B,C,E
Rationale: Burns from a heating pad, a fall due to disorientation, and a visitor fainting are incidents requiring reports due to injury or unexpected events. Meal dissatisfaction and affordability issues do not typically warrant incident reports.
Question 2 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 3 of 5
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Determining the client's knowledge of the use of the peak flow meter is the first action that the nurse should take, as it follows the principle of the nursing process. By assessing the client's knowledge, the nurse can identify learning needs and tailor the teaching accordingly before proceeding with demonstrations or evaluations.
Question 4 of 5
A nurse in a provider's office receives a telephone call from a client's sibling requesting current information about the client's condition. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Gathering information to verify the caller's identity ensures compliance with privacy laws (e.g., HIPA
A) before sharing information. Redirecting the caller or providing updates without verification risks breaching confidentiality.
Question 5 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: B,C,E
Rationale: Burns from a heating pad, a fall due to disorientation, and a visitor fainting are incidents requiring reports due to injury or unexpected events. Meal dissatisfaction and affordability issues do not typically warrant incident reports.