ATI LPN
ATI PN fundamentals 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Holding the cane on the stronger side enhances stability and support for the weaker side.
Question 2 of 5
A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?
Correct Answer: A
Rationale: Reducing noise near the client’s room promotes a sleep-friendly environment.
Question 3 of 5
A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?
Correct Answer: A
Rationale: Severe wheezing suggests anaphylaxis, a life-threatening reaction requiring immediate intervention.
Question 4 of 5
A nurse is inserting an indwelling urinary catheter for a male client. After inserting the catheter 15 cm (6 in), the nurse feels resistance and no urine flows through the catheter. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Gentle twisting can navigate urethral obstructions safely without causing trauma.
Question 5 of 5
A nurse is caring for a client who has a new prescription for a belt restraint. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Applying restraints over clothing prevents skin irritation and adds comfort, reducing risks of abrasions and pressure sores.