Questions 39

ATI LPN

ATI LPN Test Bank

ATI PN Fundamentals Updated 2023 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 a routine task suitable for an AP. Teaching, pain assessment, and IV site checks require nursing judgment and cannot be delegated.

Question 2 of 5

A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer: D

Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.

Question 3 of 5

A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?

Correct Answer: B

Rationale: Oral temperature elevated at 0800' is specific and accurate, indicating an abnormal finding that requires monitoring. The other options lack specificity or detail required for proper documentation.

Question 4 of 5

A nurse is collecting data regarding home safety from a client who is prone to falls. Which of the following findings should the nurse recognize as placing the client at additional risk?

Correct Answer: D

Rationale: Covering electrical cords with throw rugs is a risk factor for falls, as the client may trip over them or get tangled in them. It is also a fire hazard. Removing wheels from chairs and using a stool riser are safety measures, and a mattress on the floor may reduce injury risk from falls.

Question 5 of 5

A nurse is reinforcing teaching with a client who needs to increase vitamin C intake to promote wound healing. Which of the following foods should the nurse recommend as the best source of vitamin C?

Correct Answer: C

Rationale: A small pink grapefruit contains 38.4 mg of vitamin C, the highest among the options, making it the best source for wound healing. Banana, pear, and apple have significantly less.

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