ATI LPN
PN Fundamentals 2023 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: A
Rationale: Calf swelling is a common sign of deep-vein thrombosis (DVT) and requires immediate reporting due to risk of complications.
Question 2 of 5
The first two actions the nurse should take are ___ and ___
Correct Answer: A,B
Rationale: A: Private room isolates TB risk. B: Supplemental oxygen addresses low saturation (88%).
Question 3 of 5
A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Gently twisting the catheter may navigate past resistance, often due to the prostatic urethra.
Question 4 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 the AP’s scope and appropriate for delegation.
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: A
Rationale: Applying the restraint over the gown protects skin and ensures comfort.