ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Avoiding toilet tissue prevents contamination, ensuring specimen integrity.
Question 2 of 5
A nurse is checking for proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
Correct Answer: D
Rationale: A chest x-ray visually confirms tube placement, the most reliable method.
Question 3 of 5
A nurse is caring for a group of clients. For which of the following situations should the nurse complete an incident report? (Select all that apply.)
Correct Answer: A,C,D
Rationale: A: Injury requires reporting. C: Fall indicates safety issue. D: Visitor incident needs documentation.
Question 4 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Measuring in the other arm confirms accuracy of the elevated reading.
Question 5 of 5
A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A pH of 6.5 suggests possible tube misplacement, requiring immediate reporting.