ATI LPN
ATI PN Fundamentals Updated 2023 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 two gloved fingers to open the client's mouth for cleaning is unsafe. This method can cause injury to the AP if the patient bites down reflexively. A padded tongue blade should be used instead. The other actions are appropriate for mouth care in an unconscious client.
Question 2 of 5
A nurse is collecting data from a client who has an NG tube in place for gastric decompression. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Gastric contents in the air vent indicate that the NG tube is clogged or kinked, which can lead to aspiration or infection, and should be reported. Greenish-yellow drainage and hunger are normal, and abdominal distention should improve with decompression.
Question 3 of 5
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?
Correct Answer: D
Rationale: Restricting the number of visitors can reduce noise and overstimulation, promoting a calm environment. Loud music, inconsistent staffing, and excessive choices can increase stress.
Question 4 of 5
A nurse is caring for a client who speaks a different language than the nurse and is 5 hours postoperative. Which of the following actions should the nurse take to determine the client's level of pain?
Correct Answer: C
Rationale: Using a communication board is an effective way to assess the client's pain level and location, overcoming the language barrier. The FLACC scale is for infants/children, AP interpretation is unreliable, and the FACES scale may not be culturally understood.
Question 5 of 5
A home health nurse is reinforcing teaching about dietary needs with the son of a client. The son states, 'I don't know what to do because he's not eating.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking about mealtime elicits more information empathetically, aiding assessment. Suggesting a tube is premature, 'why' may seem accusatory, and dismissing the issue invalidates concerns.