ATI LPN
ATI PN Fundamentals 2023 Questions
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 1 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 2 of 5
A nurse is caring for a client who is postoperative following a laminectomy. Which of the following actions should the nurse take when repositioning the client?
Correct Answer: A
Rationale: A pillow between legs maintains spinal alignment during logrolling post-laminectomy.
Question 3 of 5
A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?
Correct Answer: B
Rationale: Pouring over the field risks contamination from the bottle.
Question 4 of 5
A nurse is reinforcing a teaching plan regarding proper lifting with a client. Which of the following strategies should the nurse include to prevent back injury when lifting an object?
Correct Answer: B
Rationale: Tightening abdominal muscles stabilizes the spine during lifting.
Extract:
Nurses'Notes
Day 1:
Client reports to clinic following trip to emergency department (ED) after a fall at home. Reports slipping
on a floor rug and hurting left ankle.
ray report taken in ED shows left lateral malleolus fracture. Removable boot immobilizer in place, using
a cane for assistance in ambulating
Boot immobilizer removed, left ankle with edema +2. Client reports pain as 6 on a scale of 0 to 10.
Client states they were prescribed pain medication by ED provider. Client lives alone.
Reports being "down to 1⁄2 pack of cigarettes, least 3 cups of coffee daily. States their mother was
always breaking something.
Day 3:
Bone Mineral Density DEXA scan -3.8 (-1 or above)
Question 5 of 5
Based on the client's laboratory and diagnostic results, indicate which of the following provider prescriptions the nurse should expect. A nurse in a provider's clinic is assisting in the care of an older adult female client. For each provider prescription click to specify if the provider prescription is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.
| Options | Expected | Unexpected |
|---|---|---|
| Physical therapy for muscle-strengthening and balance-training | ||
| Calcium 1500 mg po once daily on empty stomach | ||
| Vitamin D supplement 2,500 units daily | ||
| Home health evaluation of home safety | ||
| Increase caffeine intake | ||
| Increase daily sun exposure |
Correct Answer: A, B, C, D
Rationale: A: Improves strength and reduces fall risk. B, C: Address osteoporosis (DEXA -3.8). D: Ensures safe environment.