ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Witnessing the client's signature on a consent form ensures informed, express consent for the procedure, required for invasive actions like catheter insertion.
Choice A is incorrect as prior consent may not apply to the current procedure.
Choice B is incorrect because co-signing doesn’t verify client understanding.
Choice C is incorrect as verbal consent alone isn’t sufficient for invasive procedures; written consent is standard.
Question 2 of 5
A nurse is collecting a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Removing 45 mL with a syringe ensures a sterile sample from the catheter, minimizing contamination.
Choice B risks retention and discomfort.
Choice C disrupts drainage unnecessarily.
Choice D is incorrect as sterile aspiration, not pouring, is required.
Question 3 of 5
A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Performing pelvic-muscle exercises (Kegels) strengthens bladder support, improving incontinence.
Choice A is incorrect as a fixed 5-hour interval isn’t tailored to individual needs.
Choice B manages symptoms but doesn’t improve the condition.
Choice D is incorrect as citrus juice can irritate the bladder, worsening symptoms.
Question 4 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: B
Rationale: Measuring BP in the other arm confirms accuracy and rules out discrepancies; it’s the first step.
Choice A doesn’t affect accuracy.
Choice C risks false elevation; correct cuff size is key.
Choice D is premature without verification.
Question 5 of 5
A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?
Correct Answer: D
Rationale: Using disinfectant on equipment prevents pathogen spread, a key infection control measure.
Choice A is insufficient for disinfection.
Choice B isn’t standard unless specified.
Choice C is excessive; clean gloves suffice.