ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is planning to perform wound irrigation for a client who has a large abdominal wound. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Administer an analgesic 30 min before starting the procedure: Correct. Before performing wound irrigation, it is essential to provide pain relief to the client. Administering an analgesic 30 minutes before the procedure will help manage pain during wound irrigation. Hold the syringe 5 cm (2 in) above the upper end of the wound: This action does not contribute to proper wound irrigation. The nurse should direct the irrigation solution to the wound site to cleanse it effectively. Place the irrigation solution in a basin of cool water: Using cool water is not the best practice for wound irrigation. The irrigation solution should be at room temperature or a temperature specified by the healthcare provider. Perform the wound irrigation with a 10 mL syringe with an angiocatheter: Wound irrigation typically requires a larger volume of fluid to adequately cleanse the wound. A 10 mL syringe may not be sufficient, and using an angiocatheter is not appropriate for wound irrigation. A larger syringe or irrigation solution bag with an appropriate wound irrigation tool is usually used.
Question 2 of 5
A nurse is assisting with a presentation to a group of older adults at a community center about hypothermia and hyperthermia. Which of the following information should the nurse include about age-related changes?
Correct Answer: B
Rationale: Body regulation of heat and cold increases with age: This statement is incorrect. Age-related changes can lead to decreased efficiency in regulating body temperature, making older adults more susceptible to extreme temperatures. Circulation becomes less efficient with age: Correct. With age, blood vessels can lose some of their elasticity, leading to decreased efficiency in circulating blood throughout the body. This can impact the ability to respond to temperature changes effectively. Increased metabolic rate occurs with age, and increasing body temperature: This statement is incorrect. In general, metabolic rate tends to decrease with age, which can contribute to decreased heat production in older adults. Sweat gland activity is increased with age: This statement is incorrect. Sweat gland activity tends to decrease with age, leading to decreased sweating and potential challenges in cooling the body during hot conditions.
Question 3 of 5
A nurse is reinforcing teaching with a client about the prevention of stress injuries. Which of the following instructions should the nurse include?
Correct Answer: D
Rationale: Keep your knees in a locked position when standing for prolonged periods.' This instruction is incorrect. Keeping knees locked can lead to muscle fatigue and increased risk of injury during prolonged standing. 'Bend at the waist when lifting a heavy object.' This instruction is incorrect. Bending at the waist during lifting can strain the lower back and increase the risk of back injuries. 'Keep your feet close together when lifting a heavy object.' This instruction is incorrect. Keeping feet close together can make the base unstable and increase the risk of falling or losing balance during lifting. 'When lifting a heavy object, keep it close to your body.' Correct. Keeping the heavy object close to the body while lifting helps reduce strain on the back and minimizes the risk of injury. This technique allows the body’s core muscles to better support the weight.
Question 4 of 5
A nurse is caring for a client who has metastatic cancer and practices Catholicism. The client asks the nurse to discuss the afterlife with them. Which of the following statements by the nurse assists in meeting the client’s spiritual needs?
Correct Answer: A
Rationale: Tell me what the afterlife means to you.' Correct. This response demonstrates active listening and encourages the client to share their beliefs and feelings about the afterlife, providing the client with an opportunity for spiritual expression and understanding. 'You should discuss the afterlife with your priest.' While discussing spiritual matters with a religious leader can be valuable, this response does not directly address the client’s request for the nurse to discuss the afterlife with them. 'Keep praying. A miracle could happen.' This response may not fully address the client’s need to discuss their beliefs about the afterlife. It focuses on hope but does not actively engage in the client’s spiritual conversation. 'Maybe your condition will lead you closer to God.' While offering comfort, this response may not meet the client’s request to discuss the afterlife directly.
Question 5 of 5
A nurse is preparing to administer a topical medication to a client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Show the assistive personnel where to apply the medication: This action is not appropriate because only licensed healthcare providers, such as nurses, are allowed to administer medications. Ask the client when the previous nurse last applied the medication: While communication with the client is important, it is not a reliable method to verify medication administration accuracy. Identify the client by comparing the medication administration record with the client’s room number: This action is insufficient to verify the correct client because there could be multiple clients with the same medication due. Compare the label of the medication container with the medication administration record three times: Correct. This action is known as the 'three checks' and is an essential step in medication administration. The nurse should compare the medication label with the medication administration record before removing the medication, after removing the medication, and at the bedside before administering the medication.