ATI LPN
PN Fundamentals Exam 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: A
Rationale: Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; it’s the priority action.
Choice B delays immediate assessment.
Choice C is premature before verification.
Choice D is secondary to confirming the current status.
Question 2 of 5
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: Using a filter needle prevents glass particles from being aspirated into the syringe, ensuring safe administration.
Choice B is incorrect as ampules contain pre-measured doses not requiring dilution.
Choice C is unnecessary since the opened ampule’s contents are sterile, and swabbing doesn’t remove glass.
Choice D is incorrect as injecting air isn’t needed and could spill medication or affect dosing.
Question 3 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 4 of 5
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Not confirming or denying protects confidentiality per HIPAA.
Choice B implies presence, breaching privacy.
Choice C discloses health status.
Choice D confirms presence, violating privacy.
Question 5 of 5
A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Gladness to choose care shows comprehension of autonomy in directives.
Choice A is a misconception; changes are allowed.
Choice B oversimplifies.
Choice D is false; no delay applies.