ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 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 deep vein thrombosis, requiring immediate reporting for intervention.
Question 2 of 5
A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?
Correct Answer: C
Rationale: Dangling legs before standing allows gradual adjustment to upright posture, preventing orthostatic hypotension.
Question 3 of 5
A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position her hands?
Correct Answer: A
Rationale: Interlocking fingers above the waist maintains sterility by keeping hands away from non-sterile surfaces.
Question 4 of 5
A nurse is caring for a client who refuses a prescribed medical procedure. Which of the following actions should the nurse take to act as a client advocate?
Correct Answer: A
Rationale: Advocacy involves representing the client's wishes by assessing concerns and communicating them to the provider, respecting autonomy.
Question 5 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: C
Rationale: Wanting to learn dressing changes shows acceptance and adaptation to the amputation.