ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care?
Correct Answer: B
Rationale: Placing the client in a room with another client who has pharyngitis is not recommended. Pharyngitis can be caused by various different pathogens, not just streptococci. Co-housing clients with different infections can lead to cross-infection, complicating both clients' conditions.
Therefore, this choice is not the best option. Ensuring that the client wears a surgical mask during transportation throughout the facility is the correct choice. Streptococcal infections are spread through respiratory droplets. A surgical mask can help prevent the spread of these droplets, protecting other clients and healthcare workers in the facility. This is a standard precaution in infection control. Limiting the client's visitors to visitations of 30 minutes is not necessarily beneficial. The duration of the visit does not significantly impact the risk of transmission as much as the precautions taken during the visit, such as hand hygiene and wearing a mask.
Therefore, while limiting visitation time might reduce exposure, it is not the most effective measure to prevent the spread of infection. Providing the client a room with negative pressure airflow of six air exchanges per hour is not necessary for a client with a streptococcal infection. Negative pressure rooms are typically used for clients with airborne diseases, such as tuberculosis. A streptococcal infection is spread through droplets, not airborne transmission, so a negative pressure room would not provide any additional benefit.
Question 2 of 5
A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Incorrect. Leaning on the crutches for support while standing still is not the correct way to use crutches. It can lead to discomfort and instability. Correct. The client should advance the unaffected leg first while climbing stairs when using crutches. This technique ensures better stability and safety during stair ascent. Incorrect. Standing 5 cm (2 in) from the front of a chair before sitting is not directly related to the use of crutches. Incorrect. Bearing weight on the axilla while standing in the tripod position is not the correct way to use crutches. The tripod position is used for resting, not weight bearing.
Question 3 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent urinary tract infections?
Correct Answer: B
Rationale: Empty the urine drainage bag every 12 hours: While it’s essential to empty the urine drainage bag regularly to prevent it from becoming too full, emptying it every 12 hours alone is not sufficient to prevent urinary tract infections (UTIs). Drain the urine from the tubing before ambulation: Correct. Before the client ambulates or moves, the nurse should ensure that the urinary catheter’s tubing is emptied. This prevents urine from flowing back into the bladder, reducing the risk of UTIs. Use clean technique for urine specimen collection: While using clean technique during urine specimen collection is important for preventing contamination, it is not the primary action needed to prevent UTIs in a client with an indwelling urinary catheter. Hang the urine drainage bag at the level of the bladder: While proper positioning of the drainage bag is essential for optimal urine flow and to prevent backflow, it alone is not sufficient to prevent UTIs.
Question 4 of 5
A nurse is caring for a client who has just died and practiced the Islamic faith. Which of the following cultural practices should the nurse expect?
Correct Answer: C
Rationale: The client’s body should be placed on the floor: This is not a specific cultural practice in Islam. In Islamic tradition, the deceased person is usually placed on a raised surface, like a table or bed, to allow family and friends to gather around for prayers and final respects. The client’s oldest child will bathe the body: This is not a specific cultural practice in Islam. In Islamic tradition, the body is usually washed by individuals of the same gender who are experienced in the ritual washing of the deceased, known as 'Ghusl.' The client’s face should be turned toward Mecca: Correct. In Islamic tradition, when a person dies, it is customary to position the body with the head facing the Kaaba in Mecca, which is the holy city in Islam and the direction toward which Muslims pray. The client’s body will be adorned with amulets: This is not a specific cultural practice in Islam. While some individuals in various cultures may use amulets or charms for protection, it is not a universal Islamic practice for the deceased.
Question 5 of 5
A client who has advanced cancer tells the nurse that they have a difficult time talking to anyone about the illness. Which of the following actions should the nurse take to encourage therapeutic communication?
Correct Answer: B
Rationale: Keep the conversation moving by asking about the client’s family: While engaging the client in conversation is important, this statement does not specifically address the client’s difficulty in talking about their illness. Let the client know that as their nurse, they are available and willing to listen: Correct. This response demonstrates the nurse’s willingness to provide emotional support and active listening. Encouraging the client to express their feelings and concerns about their illness is essential in promoting therapeutic communication. Ask if the client understands what to expect in the advanced stages of the illness: While discussing the client’s understanding of their illness is essential, it does not directly address their difficulty in talking to others about it. Ask the client’s visitors not to say anything about the advanced disease: This response may hinder communication and restrict the client’s opportunity to talk about their feelings and concerns with supportive visitors.