ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
A nurse is discussing pressure ulcer staging with a newly licensed nurse
Question 1 of 5
A nurse is discussing pressure ulcer staging with a newly licensed nurse. Which statement should the nurse use to describe a stage 3 pressure ulcer?
Correct Answer: B
Rationale: A stage 3 pressure ulcer involves full-thickness skin loss and may appear as a deep crater. There may be damage to or necrosis of subcutaneous tissue that may extend down to, but not through, underlying fascia.
Extract:
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home
Question 2 of 5
A nurse is assisting an older adult client in the hallway for the first time since admission. The client has brought a standard walker from home. To ensure the client's safety and proper use of the walker, which of the following actions should the nurse take?
Correct Answer: A
Rationale: The client should lift the walker and place it down in front of her. This provides stability and support as the client moves, ensuring balance and preventing falls.
Extract:
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea
Question 3 of 5
A nurse is reinforcing teaching with a client who is obese and has obstructive sleep apnea about how to decrease the number of apneic episodes he has each night. Which statement indicates that the client understands the instructions?
Correct Answer: B
Rationale: Losing weight can help decrease the number of apneic episodes in a client with obstructive sleep apnea. Obesity is a major risk factor, and weight loss can reduce airway obstruction.
Extract:
A patient is undergoing oxygen therapy through a nasal cannula
Question 4 of 5
A patient is undergoing oxygen therapy through a nasal cannula. If the patient inquires about the reason for having oxygen tubing in their nose, what explanation about the cannula should the nurse provide?
Correct Answer: B
Rationale: A nasal cannula delivers the low concentration of oxygen that the patient needs. It is designed to provide a specific amount of oxygen, and the flow rate can be adjusted as needed.
Extract:
A nurse is caring for a client with urinary incontinence
Question 5 of 5
A nurse is caring for a client with urinary incontinence. What action should the nurse take to prevent skin breakdown?
Correct Answer: B
Rationale: Applying a moisture barrier ointment to the skin can help protect the skin from the damaging effects of urine. This can help prevent skin breakdown and is a common practice in the care of clients with urinary incontinence.