ATI LPN
ATI PN Comprehensive Predictor 2023 - Exam 1 Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for a client who has a sigmoid colostomy. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Emptying the pouch first prevents spillage. The barrier should be 0.3-0.6 cm larger, moisturizing soap risks adhesion, and post-meal changes increase output.
Question 2 of 5
A nurse is caring for a client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Securing tubing prevents displacement and trauma. Coiling risks backflow, waist height allows reflux, and specimens come from the port, not bag.
Question 3 of 5
A nurse is caring for a client who has AIDS. Which of the following solutions should the nurse use to disinfect the client's overbed table following a blood spill?
Correct Answer: C
Rationale: Bleach (1:10 dilution) effectively kills bloodborne pathogens like HIV. Chlorhexidine is for skin, alcohol and peroxide are less effective for spills.
Question 4 of 5
A charge nurse in a long-term care facility notices the smell of alcohol on a nurse's breath. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Removing the nurse prioritizes patient safety over reassignment, documentation, or supervisor contact.
Question 5 of 5
A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxyphenol-methamphetamine. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: MDMA (ecstasy) can cause hallucinations. It increases energy (not weakness), causes hyperthermia (not hypothermia), and heightens alertness (not somnolence).