ATI LPN
ATI PN Comprehensive Predictor 2023 - Exam 1 Questions
Extract:
Question 1 of 5
A nurse is providing site care for a child who has a gastrostomy enteral tube. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A skin barrier protectant prevents irritation from leakage. Lubricant and taping aren't routine, and extension tubes are for feeding, not site care.
Question 2 of 5
A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Stopping the conversation prevents further confidentiality breach. Documentation and reporting follow, and informing the client isn't typically needed unless privacy is compromised.
Question 3 of 5
A nurse is reviewing the guidelines for documenting client care. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Avoiding direct quotes ensures objective, professional documentation. Subjective and objective data are both needed, meds are documented post-administration, and only witnessed info is recorded.
Question 4 of 5
A nurse in an acute care facility is reviewing medication administration protocol with another nurse. Which of the following information should the nurse include in the review?
Correct Answer: D
Rationale: Checking allergy bands each time prevents allergic reactions. Two identifiers are standard, labels are read thrice, and documentation occurs per dose.
Question 5 of 5
A nurse is collecting data from a client who is receiving IV therapy. Which of the following findings indicates fluid overload?
Correct Answer: A
Rationale: Crackles indicate fluid in the lungs, a sign of overload. Decreased BP, dry membranes, and high output suggest dehydration, not overload.