ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about end-of-life care with the partner of a client. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: Assuming hearing persists supports emotional connection, a key end-of-life principle.
Choice A may cause discomfort due to reduced appetite.
Choice B risks safety with poor circulation.
Choice C is false; opioids manage symptoms.
Question 2 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?
Correct Answer: C,D,E,B,A
Rationale: 1. Unlock and remove the inner cannula (
C) allows access for cleaning. 2. Scrub the inside and outside with a brush (
D) removes debris. 3. Wipe with a pipe cleaner (E) clears remaining secretions. 4. Cleanse the stoma site (
B) prevents infection. 5. Pour saline into the basin (
A) prepares solution (logically first, but listed last in explanation). Note: Sequence adjusted based on explanation, though A is typically preparatory.
Question 3 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 4 of 5
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
Correct Answer: A
Rationale: Not confirming or denying protects confidentiality per HIPAA.
Choice B implies presence, breaching privacy.
Choice C discloses health status.
Choice D confirms presence, violating privacy.
Question 5 of 5
A nurse is preparing to administer a medication from an ampule. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: A filter needle prevents glass shards from entering the syringe, critical for safety.
Choice B is incorrect as adding diluent alters the pre-measured dose.
Choice C is incorrect since cleansing post-opening doesn’t address glass contamination and the interior is sterile.
Choice D is incorrect as injecting air isn’t standard and could compromise the medication.