ATI LPN
ATI PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?
Correct Answer: D
Rationale: Walking is weight-bearing and safe, promoting bone health.
Extract:
Vital Signs
0115:
Tympanic temperature 37.4° C (99.4° F)
Heart rate 95/min
Blood pressure 136/89 mm Hg
Respiratory rate 22/min
Oxygen saturation 95% on room air
1930:
Tympanic temperature 36.9° C (98.4° F)
Heart rate 118/min
Blood pressure 156/94 mm Hg
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 2 of 5
A nurse is reviewing the medical record of a client. Click to highlight below the findings that require immediate follow-up.
Correct Answer: D, E
Rationale: D: Irregular heart rate may indicate arrhythmia. E: Hyperactive bowel sounds suggest a gastrointestinal issue.
Extract:
Question 3 of 5
A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many ml should the nurse administer with each dose?
Correct Answer: A
Rationale: Calculation confirms 12.5 mL per dose is correct.
Extract:
Nurses'Notes
Day 1:
Client reports to clinic following trip to emergency department (ED) after a fall at home. Reports slipping
on a floor rug and hurting left ankle.
ray report taken in ED shows left lateral malleolus fracture. Removable boot immobilizer in place, using
a cane for assistance in ambulating
Boot immobilizer removed, left ankle with edema +2. Client reports pain as 6 on a scale of 0 to 10.
Client states they were prescribed pain medication by ED provider. Client lives alone.
Reports being "down to 1⁄2 pack of cigarettes, least 3 cups of coffee daily. States their mother was
always breaking something.
Day 3:
Bone Mineral Density DEXA scan -3.8 (-1 or above)
Question 4 of 5
Based on the client's laboratory and diagnostic results, indicate which of the following provider prescriptions the nurse should expect. A nurse in a provider's clinic is assisting in the care of an older adult female client. For each provider prescription click to specify if the provider prescription is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.
| Options | Expected | Unexpected |
|---|---|---|
| Physical therapy for muscle-strengthening and balance-training | ||
| Calcium 1500 mg po once daily on empty stomach | ||
| Vitamin D supplement 2,500 units daily | ||
| Home health evaluation of home safety | ||
| Increase caffeine intake | ||
| Increase daily sun exposure |
Correct Answer: A, B, C, D
Rationale: A: Improves strength and reduces fall risk. B, C: Address osteoporosis (DEXA -3.8). D: Ensures safe environment.
Extract:
A nurse is assisting with developing a plan of care for a client.
Exhibit 1
Nurses' Notes
2 days ago:
Client admitted to telemetry unit for uncontrolled atrial fibrillation. Admission skin assessment, area of intact, blanchable skin on client's coccyx.
Today, 0900:
Wound on client's coccyx no longer covered with intact skin. Wound involves full-thickness skin loss, shallow depth with no tunneling. New granulation noted. Minimal amount of exudate noted. Client reports wound pain as 5 on a scale of 0 to 10 and is unable to find a comfortable position.
Question 5 of 5
Complete the following sentence by using the lists of options. The nurse understands that which of the following dressing should be added to the plan of care
Correct Answer: A
Rationale: Hydrocolloid dressings promote healing in full-thickness wounds with minimal exudate.