ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?

A. The client verbalizes regret about never marrying. B. The client has poorly fitting dentures. C. The client has no living family. D. The client is sedentary throughout most of the day.

Correct Answer: B

Rationale: Poorly fitting dentures impair nutrition, a priority health risk requiring immediate attention.

Question 2 of 5

A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?

A. You should start receiving mammograms as early as age 40. B. You should receive a breast ultrasound every 3 years after age 50. C. You should receive a breast examination from your provider each year after age 30. D. You should start performing monthly breast self-examinations at age 35.

Correct Answer: A

Rationale: Guidelines recommend mammograms starting at 40 for average-risk women.

Question 3 of 5

A nurse is caring for a client who refuses their morning dose of antihypertensive medication. The client tells the nurse, 'I'm not going to take this medication because it makes me sick and dizzy.' Which of the following actions should the nurse take first?

A. Return the medication to the medication cabinet. B. Notify the provider of the client's refusal. C. Inform the client of the potential consequences of their refusal. D. Document the refusal in the client's medical record.

Correct Answer: C

Rationale: Educating about consequences first respects autonomy and may encourage compliance.

Question 4 of 5

A nurse is observing an assistive personnel (AP) provide postmortem care for a client prior to visitation by their loved ones. Which of the following actions by the AP requires intervention by the nurse?

A. Washing the client's face B. Gathering the client's personal belongings C. Removing the client's dentures from their mouth D. Closing the client's eyes

Correct Answer: C

Rationale: Removing dentures alters appearance unnaturally; they should remain unless otherwise specified.

Question 5 of 5

A nurse is preparing to irrigate a client's wound. Which of the following actions should the nurse plan to take?

A. Use a 10-mL syringe filled with cleansing solution. B. Cleanse the wound with cotton balls. C. Dry the wound bed with gauze squares. D. Hold the syringe tip 2.5 cm (1 in) above the upper end of the wound.

Correct Answer: D

Rationale: Holding the syringe 2.5 cm above provides adequate pressure for irrigation without trauma.

ATI LPN fundamentals 2023 | Nurselytic

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