ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has an NG tube in place for gastric decompression. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Gastric contents in the air vent indicate that the NG tube is clogged or kinked, which can lead to aspiration or infection, and should be reported. Greenish-yellow drainage and hunger are normal, and abdominal distention should improve with decompression.
Question 2 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.
Question 3 of 5
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
Correct Answer: D
Rationale: Unequal height of the shoulders is a classic sign of scoliosis due to spinal curvature. The other options indicate kyphosis, lordosis, or emphysema, respectively.
Question 4 of 5
A nurse is caring for a client who speaks a different language than the nurse and is 5 hours postoperative. Which of the following actions should the nurse take to determine the client's level of pain?
Correct Answer: C
Rationale: Using a communication board is an effective way to assess the client's pain level and location, overcoming the language barrier. The FLACC scale is for infants/children, AP interpretation is unreliable, and the FACES scale may not be culturally understood.
Question 5 of 5
A nurse is reinforcing information with a client who wishes to complete their advance directives. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: You can decline to have certain medical procedures performed in your living will' accurately describes its purpose. Refusal rights exist without directives, an attorney isn't required, and a living will must be written.