ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about the use of a peak flow meter. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Determining the client's knowledge of the use of the peak flow meter is the first action that the nurse should take, as it follows the principle of the nursing process. By assessing the client's knowledge, the nurse can identify learning needs and tailor the teaching accordingly before proceeding with demonstrations or evaluations.
Question 2 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.
Question 3 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 125/85 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: B
Rationale: Measuring the client's BP in the other arm is the correct action to confirm the accuracy of the reading and rule out errors. A narrower cuff or faster deflation can skew results, and requesting medication is premature without verifying the elevation and assessing its cause.
Question 4 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: A
Rationale: Gloves are the first piece of personal protective equipment that the nurse should remove, as they are the most contaminated and can transfer microorganisms to other surfaces. The sequence then proceeds with goggles, gown, and mask to minimize contamination risk.
Question 5 of 5
A nurse is caring for a client who is 2 days postoperative following a below-the-knee amputation. Which of the following statements by the client should the nurse identify as indicating an acceptance of the limb loss?
Correct Answer: A
Rationale: The statement 'I need to learn how to perform a dressing change on my leg' reflects acceptance of the limb loss and a proactive approach to self-care. The other statements indicate denial, depression, or difficulty adjusting, which are not signs of acceptance.