ATI LPN
ATI PN Fundamentals 2020 with NGN 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: A
Rationale: The three-point gait involves bearing weight on the unaffected leg while advancing crutches and the affected leg together.
Question 2 of 5
A nurse is caring for a client who is postoperative and is preparing to walk for the first time in several days. Which of the following instructions should the nurse give the client to prevent orthostatic hypotension?
Correct Answer: C
Rationale: Dangling legs before standing allows gradual adjustment to upright posture, preventing orthostatic hypotension.
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: A
Rationale: Assessing the client's current knowledge first guides effective teaching tailored to their needs.
Question 4 of 5
When the patient complains of worsening due to increased swelling at the wound site on his leg, the nurse explains that the swelling indicates:
Correct Answer: D
Rationale: Swelling from dilated vessels leaking plasma is part of the inflammatory response, not necessarily infection.
Question 5 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: C
Rationale: Chlorine bleach is effective against C. difficile spores, unlike the other options.