Questions 39

ATI LPN

ATI LPN Test Bank

ATI PN Fundamentals Updated 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 key sign of deep vein thrombosis and should be reported. Clammy skin, tortuous veins, and bradycardia relate to other conditions like shock or varicose veins.

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 home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, 'I don't know what to do because he's not eating.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: Asking about mealtime elicits more information empathetically, aiding assessment. Suggesting a tube is premature, 'why' may seem accusatory, and dismissing the issue invalidates concerns.

Question 4 of 5

A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

Correct Answer: A

Rationale: A mechanical lift is designed for clients who cannot assist, supporting their full weight. The sling is not for holding, goes under thighs, and does not require client strength.

Question 5 of 5

A nurse is reinforcing teaching with a client who is perimenopausal. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: C

Rationale: Headaches due to declining estrogen are a common perimenopause symptom. Pap tests continue until 65, periods become irregular, and breast exams are best a week after the period.

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