ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Rechecking after coughing assesses if the low SaO2 is due to mucus, addressing it immediately.
Question 2 of 5
A nurse is reinforcing teaching with a client who is about to start using a standard walker. Which of the following statements by the client indicates an understanding of the instructions?
Correct Answer: A
Rationale: Slightly bent elbows ensure stability and comfort when using a walker.
Question 3 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which sequence should the nurse perform the following steps?
Order the Items
Source Container
Correct Answer: A,B,C,D,E
Rationale: A: Gloves ensure hygiene. B: Disconnect suction. C: Air clears tube. D: Breath aids removal. E: Pinch prevents leakage.
Question 4 of 5
A nurse is collecting data from a client who has diabetes mellitus. The nurse should ask which of the following to determine the client's ability to provide foot self-hygiene?
Correct Answer: A
Rationale: This directly assesses ability to perform foot care, critical for diabetes management.
Question 5 of 5
A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?
Correct Answer: D
Rationale: Allergy information is critical to prevent adverse reactions during care.