ATI LPN fundamentals 2023

Extract:

Question 1 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 2 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 3 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.

Question 4 of 5

A nurse is preparing to administer medications to a client. Which of the following pieces of information should the nurse use as a client identifier?

A. Room number B. Medical diagnosis C. Photograph D. Age

Correct Answer: C

Rationale: A photograph is a reliable identifier per safety standards, unlike room number or age.

Question 5 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?

A. The device requires the client to use upper body strength. B. The sides of the sling are for the client to hold on to. C. The lower end of the sling goes below the client's calves. D. This type of device is useful for a client who cannot assist.

Correct Answer: D

Rationale: A mechanical lift is designed for clients unable to assist, ensuring safe transfer.

ATI LPN fundamentals 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN