ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has crutches regarding the use of the three-point gait. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: Bearing weight on the unaffected leg is key to the three-point gait, moving crutches and the affected leg together. Crutch tips should be 15 cm from feet, at hip level, with bent arms.
Question 2 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: A
Rationale: Measuring intake and output is a routine task suitable for an AP. Teaching, pain assessment, and IV site checks require nursing judgment and cannot be delegated.
Question 3 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 4 of 5
A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?
Correct Answer: B
Rationale: Chlorine bleach is effective against Clostridium difficile spores, unlike alcohol, chlorhexidine, or triclosan, which are insufficient for this purpose.
Question 5 of 5
A nurse is inserting an indwelling urinary catheter for a female client. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
Correct Answer: A,B,C,E,D
Rationale: The correct order is: Clean the meatus (
A), separate labia (
B), insert catheter (
C), inflate balloon (E), secure to thigh (
D). This sequence minimizes infection risk and ensures proper placement.