ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is monitoring a client's oxygen saturation using a pulse oximeter. The client's oxygen saturation is 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Repositioning the probe ensures an accurate reading, as 88% is low and may reflect a poor signal.
Question 2 of 5
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
Correct Answer: D
Rationale: Unequal shoulder height is a common sign of scoliosis due to spinal curvature.
Question 3 of 5
A nurse is assisting a client who is 4 hr postoperative to get out of bed. The client states, “Do not touch me! I can get up by myself.†Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Offering standby assistance respects the client's autonomy while ensuring safety.
Question 4 of 5
A nurse is caring for a client who speaks a different language than the nurse and is 6 hr postoperative. Which of the following actions should the nurse take to determine the client's level of pain?
Correct Answer: C
Rationale: The FLACC scale assesses pain through observable behaviors, suitable for language barriers and postoperative clients.
Question 5 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?
Correct Answer: A
Rationale: The three-point gait involves bearing weight on the unaffected leg while advancing crutches and the affected leg together.