ATI LPN
ATI PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has an ostomy. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Pressing the barrier ensures a secure seal, preventing leaks.
Extract:
Vital Signs
0115:
Tympanic temperature 37.4° C (99.4° F)
Heart rate 95/min
Blood pressure 136/89 mm Hg
Respiratory rate 22/min
Oxygen saturation 95% on room air
1930:
Tympanic temperature 36.9° C (98.4° F)
Heart rate 118/min
Blood pressure 156/94 mm Hg
Respiratory rate 20/min
Oxygen saturation 97% on room air
Question 2 of 5
A nurse is reviewing the medical record of a client. Click to highlight below the findings that require immediate follow-up.
Correct Answer: D, E
Rationale: D: Irregular heart rate may indicate arrhythmia. E: Hyperactive bowel sounds suggest a gastrointestinal issue.
Extract:
Question 3 of 5
A nurse in a long-term care facility is preparing to administer medications to a client who has advanced dementia and does not have an identification band. Which of the following actions should the nurse take to verify the client's identity?
Correct Answer: C
Rationale: A photograph in the record is a reliable identifier for a client with dementia.
Question 4 of 5
A nurse is caring for a client and observes a nurse from another unit reviewing the client's medical record. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: This action reinforces HIPAA compliance without escalating unnecessarily.
Question 5 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: A
Rationale: Music is a nonpharmacological method to distract from pain and promote relaxation.