ATI PN Fundamentals Updated 2023

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?

A. Measure the intake and output of a client who has received furosemide. B. Reinforce teaching with a client about crutch-gait walking. C. Assess the pain level of a client who has received acetaminophen. D. Check a client's peripheral IV site for redness or swelling.

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 is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?

A. This type of device is useful for a client who cannot assist. B. The sides of the sling are for the client to hold onto. C. The lower end of the sling goes below the client's calves. D. The device requires the client to use upper body strength.

Correct Answer: A

Rationale: A mechanical lift is designed for clients who cannot assist, supporting their full weight. The sling is not for holding, goes under thighs, and does not require client strength.

Question 3 of 5

A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?

A. Stand with the crutch tips against the feet. B. Bear weight on the unaffected leg. C. Keep the crutches at the level of the waist. D. Hold the arms straight when walking.

Correct Answer: B

Rationale: Bearing weight on the unaffected leg is key to the three-point gait, moving crutches and the affected leg together. Crutch tips should be 15 cm from feet, at hip level, with bent arms.

Question 4 of 5

A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, 'I don't know what to do because he's not eating.' Which of the following responses should the nurse make?

A. He may need a feeding tube. B. Why do you think he's not eating? C. I'm sure it's nothing serious and his appetite will return soon. D. Tell me more about what happens at mealtime.

Correct Answer: D

Rationale: Asking about mealtime elicits more information empathetically, aiding assessment. Suggesting a tube is premature, 'why' may seem accusatory, and dismissing the issue invalidates concerns.

Question 5 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?

A. Inject air into the ampule prior to drawing the medication into a syringe. B. Cleanse the tip of the ampule with an alcohol swab after opening. C. Use a filter needle to aspirate the medication. D. Add 0.5 mL of diluent to the medication.

Correct Answer: C

Rationale: Using a filter needle prevents glass particles from entering the syringe. Injecting air, cleansing after opening, or adding diluent are incorrect for ampule medication administration.

ATI PN Fundamentals Updated 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN