ATI LPN fundamentals 2023

Extract:

Question 1 of 5

A nurse is providing end-of-life care to a client who is experiencing dyspnea. Which of the following actions should the nurse take?

A. Reposition the client once every 4 hr. B. Provide oral care to the client once every 8 hr. C. Place the head of the client's bed flat. D. Use a fan to circulate air in the client's room.

Correct Answer: D

Rationale: A fan improves air movement, easing dyspnea in end-of-life care.

Question 2 of 5

A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?

A. Keep their arms at the sides of their body with their hands in a relaxed position. B. Interlock their fingers and hold their hands away from their body above their waist. C. Clasp their hands together in a relaxed position behind their body at their waist. D. Place one hand over the other against the part of the gown covering their upper body.

Correct Answer: B

Rationale: Interlocking fingers above the waist keeps hands sterile and away from contamination.

Question 3 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? (Move the steps placing them in the order of performance. Use all the steps.)

Order the Items

Source Container

Wipe the inside of the inner cannula with a folded pipe cleaner.

Unlock and remove the inner cannula.

Scrub the inside and outside of the inner cannula with a small brush

Cleanse the stoma site with 0.9% sodium chloride solution.

Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

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

Rationale: E: Prepare solution. B: Remove cannula. C: Scrub cannula. A: Wipe cannula. D: Cleanse stoma ensures sterile technique.

Question 4 of 5

A nurse is caring for a client who has a new colostomy. The client refuses to participate in her ostomy care, saying, 'I'm not touching that thing.' Which of the following actions should the nurse take?

A. Request that someone from the client's family participate in the care. B. Ask the client to explain her feelings. C. Explain why her participation is important. D. Tell the client that it is safe to touch her ostomy. E. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin.

Correct Answer: B

Rationale: Exploring feelings addresses emotional barriers, promoting eventual acceptance of care.

Question 5 of 5

A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?

A. I will apply antiseptic ointment to the tip of my penis. B. I will clamp the tube when I go for a walk. C. I will keep the drainage bag below the level of my waist. D. I will empty my drainage bag once a day.

Correct Answer: C

Rationale: Keeping the bag below waist level prevents urine backflow, reducing infection risk.

ATI LPN fundamentals 2023 | Nurselytic

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