ATI LPN
ATI PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an adult client who has a developmental disability. The client requires an emergency appendectomy, and the staff cannot reach the appointed guardian. Which of the following is an appropriate action for the nurse to take?
Correct Answer: C
Rationale: In emergencies, implied consent is appropriate when the guardian is unavailable.
Question 2 of 5
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A dark-colored stoma indicates potential ischemia or necrosis, requiring immediate reporting.
Question 3 of 5
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: B, E
Rationale: B: Pricking the side avoids painful areas. E: Clean gloves ensure infection control.
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 DVT, requiring urgent reporting.
Question 5 of 5
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Applying over the gown prevents skin irritation and ensures proper fit.