ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?
Correct Answer: C,D,E,B,A
Rationale: 1. Unlock and remove the inner cannula (
C) allows access for cleaning. 2. Scrub the inside and outside with a brush (
D) removes debris. 3. Wipe with a pipe cleaner (E) clears remaining secretions. 4. Cleanse the stoma site (
B) prevents infection. 5. Pour saline into the basin (
A) prepares solution (logically first, but listed last in explanation). Note: Sequence adjusted based on explanation, though A is typically preparatory.
Question 2 of 5
A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?
Correct Answer: C
Rationale: The lift is for clients unable to assist, showing understanding.
Choice A is false; sides are for attachment.
Choice B varies by lift type.
Choice D is incorrect; the lift supports, not the client.
Question 3 of 5
A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
Correct Answer: C
Rationale: A chest x-ray definitively confirms tube placement, the gold standard.
Choice A isn’t standard.
Choice B is unreliable due to inconsistent results.
Choice D is useful but less definitive due to variable factors.
Question 4 of 5
A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?
Correct Answer: D
Rationale: A cotton-tipped applicator aids gentle wound cleaning and treatment application for a stage 4 injury.
Choice A secures dressings, not primary care.
Choice B is for oral use.
Choice C is for irrigation, less essential here.
Question 5 of 5
A nurse is caring for an older adult client who has fecal incontinence. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Moisture barrier ointment protects skin from breakdown due to fecal exposure.
Choice A prevents ulcers but not skin irritation.
Choice B is too harsh.
Choice C worsens moisture issues.