ATI LPN
ATI PN Fundamentals of Nursing 2020 with NGN Exam 2 Questions
Extract:
Question 1 of 5
A nurse observes an assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: D
Rationale: Using fingers to open the mouth risks injury; a safer method like a tongue depressor is preferred. Other actions enhance safety and hygiene.
Question 2 of 5
A nurse is collecting data from a client who is receiving IV fluid replacement to treat diarrhea but now has oliguria. Laboratory results include a potassium level of 5.6 mEq/L. The nurse should report which of the following findings to the provider immediately?
Correct Answer: D
Rationale: Palpitations signal potential cardiac arrhythmias from hyperkalemia, needing urgent reporting. Other symptoms are less immediately critical.
Question 3 of 5
A nurse is assisting with the care of a client who has a closed chest tube drainage system. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Keeping the system below chest level ensures proper drainage. Looping risks fluid buildup, clamping risks pneumothorax, and milking can harm lung tissue.
Question 4 of 5
A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?
Correct Answer: A
Rationale: Mechanical lifts aid non-assisting clients safely. Sling placement, holding sides, and strength requirements are incorrect.
Question 5 of 5
A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: Advance directives allow clients to specify care preferences while competent, as B indicates. Separate consent isn't needed, there's no delay, and preferences can be updated, not fixed.