ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 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 2 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Measuring BP in the other arm confirms accuracy and rules out discrepancies; it’s the first step.
Choice A doesn’t affect accuracy.
Choice C risks false elevation; correct cuff size is key.
Choice D is premature without verification.
Question 3 of 5
A nurse is collecting data from a client who is 2 days postoperative following the placement of a colostomy. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: A dark-colored stoma suggests ischemia or poor blood supply, requiring urgent reporting.
Choice A is normal initially post-surgery.
Choice C is expected early on.
Choice D is a typical finding as the stoma adjusts.
Question 4 of 5
A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?
Correct Answer: D
Rationale: Placing a pillow between the legs maintains spinal alignment and reduces pressure on the surgical site during logrolling, essential post-laminectomy.
Choice A isn’t directly relevant to logrolling safety.
Choice B isn’t necessary as semi-Fowler’s isn’t used for logrolling.
Choice C is incorrect as arms above the head don’t aid alignment and may stress the site.
Question 5 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?
Correct Answer: A
Rationale: Note: The document’s explanation incorrectly marks A as correct, but per HIPAA, consent is required for employers.
Choice B is correct as interpreters need info for care, allowed under HIPAA without written consent.
Choices C and D require consent or specific conditions.