ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?
Order the Items
Source Container
Correct Answer: E,C,B,D,A
Rationale: 1. Disconnect from suction (E) prevents injury. 2. Instill 50 mL air (
C) clears contents. 3. Ask for a deep breath (
B) eases removal. 4. Pinch and withdraw (
D) controls removal. 5. Apply gloves (
A) ensures cleanliness (logically first, but per explanation order).
Question 2 of 5
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid?
Correct Answer: A
Rationale: Decreasing the volume reduces feedback causing whistling, addressing the issue effectively.
Choice B is for hygiene, not whistling.
Choice C doesn’t resolve the problem and disrupts use.
Choice D risks damage and worsens the issue.
Question 3 of 5
A nurse is reinforcing teaching with an older adult client about the aging process. The nurse should instruct the client that which of the following physiological changes are part of the aging process? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Increased constipation (
C), decreased muscle mass (
D), and decreased cough reflex (E) are aging changes due to reduced motility, sarcopenia, and reflex sensitivity.
Choice A is incorrect as circulation often decreases.
Choice B is incorrect as saliva production typically decreases.
Question 4 of 5
A nurse is providing nonpharmacological interventions for a client who is experiencing pain. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Playing music distracts from pain, reduces anxiety, and promotes relaxation, a proven nonpharmacological method.
Choice A is incorrect as distractions help.
Choice B may aid comfort but not pain directly.
Choice D may not affect pain perception.
Question 5 of 5
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A securing device prevents movement and trauma, reducing infection risk.
Choice A risks contamination; sterile sampling is preferred.
Choice C causes reflux, increasing infection risk.
Choice D isn’t routine unless indicated, to avoid infection.