ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?
Correct Answer: A
Rationale: Note: The document’s explanation incorrectly marks A as correct, but per HIPAA, consent is required for employers.
Choice B is correct as interpreters need info for care, allowed under HIPAA without written consent.
Choices C and D require consent or specific conditions.
Question 2 of 5
A nurse is checking for the proper placement of a feeding tube. Which of the following methods is the most reliable for verification of tube placement?
Correct Answer: C
Rationale: A chest x-ray definitively confirms tube placement, the gold standard.
Choice A isn’t standard.
Choice B is unreliable due to inconsistent results.
Choice D is useful but less definitive due to variable factors.
Question 3 of 5
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A securing device prevents movement and trauma, reducing infection risk.
Choice A risks contamination; sterile sampling is preferred.
Choice C causes reflux, increasing infection risk.
Choice D isn’t routine unless indicated, to avoid infection.
Question 4 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?
Correct Answer: E,C,B,D,A
Rationale: 1. Disconnect from suction (E) prevents injury. 2. Instill 50 mL air (
C) clears contents. 3. Ask for a deep breath (
B) eases removal. 4. Pinch and withdraw (
D) controls removal. 5. Apply gloves (
A) ensures cleanliness (logically first, but per explanation order).
Question 5 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
Rationale: Burns (
A) and falls (
C) require incident reports for safety review.
Choice B doesn’t typically need one unless facility-related.
Choice D is a service issue, not an incident unless harmful.