ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?

A. Wear sterile gloves when handling the stool specimen. B. Have the client defecate into a bedpan that contains a small amount of water. C. Repeat the test three times using the same stool specimen. D. Ensure that the stool specimen does not contain urine.

Correct Answer: D

Rationale: Urine can contaminate the specimen, affecting the accuracy of the fecal occult blood test.

Question 2 of 5

A nurse is collecting data from a client who has a BMI of 29. The nurse should document that the client is in which of the following weight categories?

A. Obese B. Underweight C. Ideal body weight D. Overweight

Correct Answer: D

Rationale: A BMI of 25-29.9 is classified as overweight; 30+ is obese.

Question 3 of 5

A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take. (Move the steps, placing them in the order of performance.)

Order the Items

Source Container

Open the innermost lower flap of the sterile kit while standing away from the sterile field.

Open each side flap of the sterile kit individually while pulling to the side.

Prepare a dry work surface above the waist level.

Open the outside cover of the sterile kit and remove the dust cover.

Grasp the outermost flap of the sterile kit while opening away from the body.

Correct Answer: C,D,E,B,A

Rationale: C: Set up surface. D: Open cover. E: Open outermost flap. B: Open side flaps. A: Open innermost flap maintains sterility.

Question 4 of 5

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

A. The handle of a pair of sterile scissors is resting 5 cm (2 in) from the field's edge. B. A pair of sterile forceps is allowed to rest in a container of sterile water on the field. C. Unnecessary sterile items are placed on the field. D. The sterile solution is poured with the bottle held over the field.

Correct Answer: D

Rationale: Pouring with the bottle over the field risks contamination from the non-sterile bottle.

Question 5 of 5

A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?

A. Why do you think they're not eating? B. Tell me more about what happens at mealtime. C. They may need a feeding tube. D. I'm sure it's nothing serious and their appetite will return soon.

Correct Answer: B

Rationale: Exploring mealtime details gathers specific data to address the eating issue effectively.

ATI LPN fundamentals 2023 | Nurselytic

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