ATI LPN
LPN ATI Fundamental Exam Questions
Extract:
Question 1 of 5
A nurse is preparing to transfer a client from an acute care facility to a long-term care facility. Which of the following information should the nurse plan to include in the transfer report?
Correct Answer: C
Rationale: Discontinued medications do not provide actionable information for the receiving facility, as they are no longer relevant to the client's ongoing care. Including this information may lead to confusion about the current treatment plan. Resolved health conditions are not a priority to communicate because they do not require further monitoring or intervention. Focus should be placed on active health concerns and ongoing care needs. The frequency of vital sign collection is critical information for the receiving facility to maintain continuity of care and ensure appropriate monitoring of the client's condition. This detail helps guide the long-term care staff in managing the client's ongoing health needs effectively. Completed nursing interventions are not typically included in the transfer report as they have already been addressed and do not impact future care. The focus should remain on ongoing and future interventions required for the client.
Question 2 of 5
A nurse is taking notes of client information on a piece of paper while receiving a report. Which of the following actions should the nurse take to dispose of the paper?
Correct Answer: C
Rationale: Obscure the client’s name with a marker prior to disposal: While obscuring the client’s name is better than not doing anything, it does not fully protect their confidential information. The paper could still be read by someone with access to it. Place the paper in a trash can at the nurses’ station: This action does not ensure the proper disposal of confidential information. It could be accessible to unauthorized individuals and breach the client’s privacy. Shred the paper in a secure container: Correct. Shredding confidential information is the best way to ensure that it cannot be accessed or read by unauthorized individuals. Secure the paper in the nurse’s personal locker: While securing the paper in a personal locker is better than leaving it exposed, it is not the most secure method of disposal for confidential information.
Question 3 of 5
A nurse is caring for a client who is postoperative and is experiencing nausea and vomiting. The nurse should identify which of the following findings as indications that the client has fluid volume deficit. (Select all that apply.)
Correct Answer: B, D, E
Rationale: A: A full bounding pulse is a sign of increased fluid volume or fluid overload, not fluid volume deficit. B: Cool extremities can be an indication of decreased peripheral perfusion, which may occur in fluid volume deficit. C: Moist crackles in the lungs are an indication of fluid volume excess or pulmonary congestion, not fluid volume deficit. D: Orthostatic hypotension, which is a drop in blood pressure when changing from lying to standing, can be a sign of fluid volume deficit due to inadequate blood volume. E: Flat neck veins are an indication of decreased venous return and can occur in fluid volume deficit.
Question 4 of 5
A nurse is speaking with a client who has type 2 diabetes mellitus and a prescription for insulin. The client verbalizes anger about having to take insulin. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Asking the client why they are angry may come across as confrontational and defensive, potentially escalating the situation. It does not promote open communication or therapeutic rapport. Sharing personal information about diabetes running in the nurse’s family is not relevant to the client’s feelings or concerns and may not be helpful in addressing the client’s anger. Correct. Acknowledging the client’s feelings of anger and offering to sit down and talk provides an opportunity for therapeutic communication. This response demonstrates empathy and a willingness to listen and address the client’s concerns about insulin therapy. While it is true that insulin therapy can help reduce the risk of complications in type 2 diabetes, this response may come across as dismissive of the client’s feelings and concerns. It does not address the emotional aspect of the client’s anger.
Question 5 of 5
A nurse is reinforcing preoperative teaching with a client about how to turn, cough, and deep breathe. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: This can help prevent nausea.' Turning, coughing, and deep breathing exercises are not primarily aimed at preventing nausea. These exercises are designed to maintain lung function and prevent respiratory complications. 'This can help prevent pneumonia.' Correct. Turning, coughing, and deep breathing exercises are essential postoperative activities that help prevent the development of pneumonia by promoting lung expansion, clearing mucus, and preventing atelectasis. 'I should do this every 4 hours.' The frequency of turning, coughing, and deep breathing exercises may vary based on individual client needs and surgical procedures. This statement does not demonstrate a specific understanding of the appropriate timing for these exercises. 'I should do this to keep my heart from beating too fast.' Turning, coughing, and deep breathing exercises are not directly related to heart rate regulation. They are focused on lung expansion and airway clearance.