ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 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 stoma indicates potential ischemia, a serious issue needing prompt reporting.
Choice A is expected post-op.
Choice C is normal initially.
Choice D is typical and not concerning.
Question 2 of 5
A nurse is planning to provide postmortem care for a client who requires an autopsy. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Placing an identification tag on the outside of the client's shroud ensures proper identification throughout the postmortem process, crucial for autopsy procedures.
Choice A is incorrect as documenting time of death is typically the physician’s responsibility, not assist personnel.
Choice C is incorrect because sterile gloves aren’t required unless there’s an infectious concern; regular gloves suffice.
Choice D is incorrect as dentures are handled per protocol or family wishes, not routinely given during postmortem care.
Question 3 of 5
A nurse is caring for an older adult client who has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moisture barrier ointment protects skin from breakdown due to fecal exposure.
Choice A prevents ulcers but not skin irritation.
Choice B is too harsh.
Choice C worsens moisture issues.
Question 4 of 5
A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Assuming hearing persists supports emotional connection, a key end-of-life principle.
Choice A may cause discomfort due to reduced appetite.
Choice B risks safety with poor circulation.
Choice C is false; opioids manage symptoms.
Question 5 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: A
Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.