ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning to place a client into the Sims' position. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: In Sims' position (side-lying with upper leg flexed), a pillow under the flexed leg supports alignment and comfort.
Question 2 of 5
A nurse is coordinating the care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse not assign to the AP?
Correct Answer: C
Rationale: Assessing pain requires nursing judgment and is outside the AP's scope; other tasks are appropriate.
Question 3 of 5
A nurse is collecting data from a client who is immobile and has a potential deep vein thrombosis. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Calf swelling is a classic sign of deep vein thrombosis, requiring immediate reporting for intervention.
Question 4 of 5
A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:
Correct Answer: D
Rationale: A hematoma is a collection of blood under intact skin, caused by trauma like a fall.
Question 5 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Measuring BP in the other arm verifies the reading, as a sudden increase may indicate an issue or error.