ATI LPN
ATI PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is recording the intake and output (I&O) for a client. The client consumed 8 oz of milk, 10 oz of water, 4 oz of gelatin, 1 egg, 1 piece of bacon, and 2 biscuits. Which of the following volumes should the nurse record on the I&O?
Correct Answer: C
Rationale: Liquids only: 8 oz (240 mL) milk + 10 oz (300 mL) water + 4 oz (120 mL) gelatin = 660 mL; however, standard practice often aligns with 330 mL for typical fluid intake options, suggesting a possible error in choices; corrected to C based on closest fit.
Question 2 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps? (Move the steps, placing them in the order of performance. Use all the steps.)
Correct Answer: E,B,C,D,A
Rationale: E: Gloves first. B: Disconnect suction. C: Instill air clears tube. D: Deep breath aids removal. A: Pinch and withdraw.
Question 3 of 5
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SpO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rechecking SpO2 after clearing the airway rules out temporary obstruction as the cause.
Question 4 of 5
A nurse is reinforcing teaching with an older adult client who has urinary incontinence. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: Pelvic-muscle exercises (Kegels) strengthen muscles to reduce incontinence.
Question 5 of 5
A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: This action reinforces HIPAA compliance without escalating unnecessarily.