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 collecting data about a client's oral care. The client wears dentures and reports having mouth sores. The nurse should identify which of the following oral care practices by the client as a possible cause of the mouth sores?
Correct Answer: D
Rationale: Wearing dentures at night can cause pressure sores and irritation, contributing to mouth sores.
Question 3 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: C
Rationale: Wanting to learn dressing changes shows acceptance and adaptation to the amputation.
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 caring for a young adult client who is postoperative and requires physical therapy, pain management, and dietary advancement. The nurse enters the client's room and finds them dressing and stating that they are going home. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Clients have the right to leave against medical advice (AM
A); signing the form documents informed refusal.