ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a postoperative client who is at risk for thrombus formation. Which of the following interventions should the nurse delegate to an assistive personnel (AP)?
Correct Answer: A
Rationale: Applying thromboembolic stockings (compression stockings) to the client's legs is a task that can be safely delegated to assistive personnel. The nurse should provide clear instructions on how to apply them properly. Incorrect. Monitoring the circulation in all four extremities requires clinical judgment and skilled assessment, and it should not be delegated to assistive personnel. Incorrect. Recording the condition of the client's skin requires observation and assessment, which should not be delegated to assistive personnel.
Question 2 of 5
A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. The client verbalizes anger about having to take insulin. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking the client why they are angry may come across as confrontational and defensive, potentially escalating the situation. It does not promote open communication or therapeutic rapport. Sharing personal information about diabetes running in the nurse’s family is not relevant to the client’s feelings or concerns and may not be helpful in addressing the client’s anger. Correct. Acknowledging the client’s feelings of anger and offering to sit down and talk provides an opportunity for therapeutic communication. This response demonstrates empathy and a willingness to listen and address the client’s concerns about insulin therapy. While it is true that insulin therapy can help reduce the risk of complications in type 2 diabetes, this response may come across as dismissive of the client’s feelings and concerns. It does not address the emotional aspect of the client’s anger.
Question 3 of 5
A nurse is taking notes of client information on a piece of paper while receiving a report. Which of the following actions should the nurse take to dispose of the paper?
Correct Answer: C
Rationale: Obscure the client’s name with a marker prior to disposal: While obscuring the client’s name is better than not doing anything, it does not fully protect their confidential information. The paper could still be read by someone with access to it. Place the paper in a trash can at the nurses’ station: This action does not ensure the proper disposal of confidential information. It could be accessible to unauthorized individuals and breach the client’s privacy. Shred the paper in a secure container: Correct. Shredding confidential information is the best way to ensure that it cannot be accessed or read by unauthorized individuals. Secure the paper in the nurse’s personal locker: While securing the paper in a personal locker is better than leaving it exposed, it is not the most secure method of disposal for confidential information.
Question 4 of 5
A nurse is moving a client up in bed with the assistance of a second nurse. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Standing facing the center of the bed at the client’s side allows the nurse to maintain proper body mechanics and use their body weight to assist in moving the client. Placing feet apart with the foot nearest the head of the client’s bed in front of the other foot also helps the nurse maintain stability and leverage while moving the client. Keeping knees and hips straight while bending at the waist toward the client is incorrect body mechanics and can put a strain on the nurse’s back. Encouraging the client to keep their legs straight and remain still is not appropriate. The client should be actively involved in the movement, assisting as much as possible, to ensure their safety and cooperation.
Question 5 of 5
A nurse is reinforcing teaching about the use of crutches with a client who has a fractured right tibia and fibula. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: I will be sure to keep the crutch tips dry.' While it is important to keep the crutch tips dry to maintain traction and stability, this statement does not specifically address the correct technique for going up stairs with crutches. 'I will hold a crutch in each hand when sitting down.' This statement does not address the correct technique for going up stairs with crutches. However, it is a correct statement regarding sitting down with crutches. 'I will place my weight on my underarms.' Placing weight on the underarms is an incorrect crutch-walking technique. It can lead to nerve compression and injury. Instead, the client should bear weight on their hands and palms when using crutches. 'I will lead with my right leg when going upstairs.' Correct. When going up stairs with crutches, the client should lead with their unaffected leg (in this case, the right leg) first. The crutches are then advanced, one at a time, to the same step. This sequence ensures better stability and safety during stair climbing with crutches.