ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: A
Rationale: Gloves are the first piece of personal protective equipment that the nurse should remove, as they are the most contaminated and can transfer microorganisms to other surfaces. The sequence then proceeds with goggles, gown, and mask to minimize contamination risk.
Question 2 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: A
Rationale: The statement 'I need to learn how to perform a dressing change on my leg' reflects acceptance of the limb loss and a proactive approach to self-care. The other statements indicate denial, depression, or difficulty adjusting, which are not signs of acceptance.
Question 3 of 5
A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?
Correct Answer: B
Rationale: Maintaining arms in a slightly bent position when using handrails enables the client to use them as support and reduces stress on the arms and shoulders. The other options can lead to imbalance, instability, or strain.
Question 4 of 5
A nurse is collecting data from a client who has an NG tube in place for gastric decompression. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Gastric contents in the air vent indicate that the NG tube is clogged or kinked, which can lead to aspiration or infection, and should be reported. Greenish-yellow drainage and hunger are normal, and abdominal distention should improve with decompression.
Question 5 of 5
A nurse is caring for a client who speaks a different language than the nurse and is 5 hours postoperative. Which of the following actions should the nurse take to determine the client's level of pain?
Correct Answer: C
Rationale: Using a communication board is an effective way to assess the client's pain level and location, overcoming the language barrier. The FLACC scale is for infants/children, AP interpretation is unreliable, and the FACES scale may not be culturally understood.