ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,E,D
Rationale: The correct order is: Clean the meatus (
A), separate labia (
B), insert catheter (
C), inflate balloon (E), secure to thigh (
D). This sequence minimizes infection risk and ensures proper placement.
Question 2 of 5
A nurse is preparing to administer sucralfate 80 mg/kg/day divided into four doses per day to a child who weighs 35 kg. The amount available is sucralfate oral suspension 1 g/10 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 7 mL
Rationale: Calculate: 80 mg/kg/day × 35 kg = 2800 mg/day; 2800 mg ÷ 4 doses = 700 mg/dose; 1 g = 1000 mg, so 700 mg = 0.7 g; 1 g/10 mL = 0.7 g/X mL, X = 7 mL.
Answer: 7 mL.
Question 3 of 5
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: D
Rationale: Raising all four side rails of a client's bed is a safety hazard because it increases the risk of injury if the client tries to climb over them. It also restricts the client's mobility and may cause feelings of isolation and imprisonment. It is a violation of the client's rights and dignity. A weight-sensitive sensor mat is a safety measure to prevent falls, a buzzing sensation from a TENS unit is expected, and a capillary refill of less than 2 seconds indicates good perfusion.
Question 4 of 5
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining verbal consent from the client is the appropriate action for the nurse to take before inserting an indwelling urinary catheter. The nurse should explain the purpose, benefits, risks, and alternatives of the procedure and ensure that the client understands and agrees to it. Written consent is not required for this routine procedure, co-signing is unnecessary, and previous consent does not apply to the current procedure.
Question 5 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.