ATI LPN
ATI LPN Fundamentals Exam IV Questions
Extract:
Question 1 of 5
A nurse is changing the dressing on a client's wound. The nurse should recognize that which of the following findings is an indication of a wound infection?
Correct Answer: A
Rationale: Edema indicates inflammation and fluid accumulation, a common sign of wound infection, unlike the other options which relate to different conditions or normal healing.
Question 2 of 5
A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Immediate washing with soap and water is the critical first action to reduce pathogen exposure after a needlestick injury.
Question 3 of 5
Before palpating the abdomen during an assessment, the nurse should do which of the following?
Correct Answer: D
Rationale: Auscultation before palpation ensures bowel sounds are not altered by manipulation, providing an accurate assessment.
Question 4 of 5
A nurse is reinforcing teaching with a group of assistive personnel (AP) about hand hygiene. Which of the following statements by an AP should the nurse identify as an indication that the AP requires further teaching?
Correct Answer: C
Rationale: Changing gloves is not a substitute for hand hygiene; washing hands before and after glove use is essential to prevent pathogen transmission, indicating a need for further teaching.
Question 5 of 5
A nurse is collecting data from a client who has insomnia. The nurse should identify that which of the following is likely to disrupt sleep?
Correct Answer: C
Rationale: Alcohol consumption before bedtime disrupts sleep quality and causes awakenings, making it the most likely factor to negatively affect sleep.