ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: A
Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.
Question 2 of 5
A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing 45 mL with a syringe ensures a sterile sample from the catheter, minimizing contamination.
Choice B risks retention and discomfort.
Choice C disrupts drainage unnecessarily.
Choice D is incorrect as sterile aspiration, not pouring, is required.
Question 3 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Measuring BP in the other arm confirms accuracy and rules out discrepancies; it’s the first step.
Choice A doesn’t affect accuracy.
Choice C risks false elevation; correct cuff size is key.
Choice D is premature without verification.
Question 4 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?
Order the Items
Source Container
Correct Answer: E,C,B,D,A
Rationale: 1. Disconnect from suction (E) prevents injury. 2. Instill 50 mL air (
C) clears contents. 3. Ask for a deep breath (
B) eases removal. 4. Pinch and withdraw (
D) controls removal. 5. Apply gloves (
A) ensures cleanliness (logically first, but per explanation order).
Question 5 of 5
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
Correct Answer: A
Rationale: Decreasing the volume reduces feedback causing whistling, addressing the issue effectively.
Choice B is for hygiene, not whistling.
Choice C doesn’t resolve the problem and disrupts use.
Choice D risks damage and worsens the issue.