ATI LPN
ATI LPN n117 fundamentals exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following should be included as a responsibility of the nurse in this process?
Correct Answer: B
Rationale: The nurse ensures the client's competence to consent, while the physician explains risks and procedures.
Question 2 of 5
A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting?
Correct Answer: A
Rationale: Dehydration is a significant risk from vomiting due to fluid and electrolyte loss.
Question 3 of 5
A nurse is caring for a client who frequently attempts to remove his feeding tube. A family member requests that a restraint be applied. Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: Obtaining a physician's order is required for restraints, used only as a last resort.
Question 4 of 5
A nurse is collecting data from a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.)
Correct Answer: D,E
Rationale: D: An increase in neutrophils is a common response to bacterial infection. E: Localized edema indicates inflammation from infection. A, B, and C are not typical infection signs.
Question 5 of 5
A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Holding breath for up to 7 seconds maximizes lung expansion, a key goal of incentive spirometry.