ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
A nurse observes 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: A
Rationale: Lowering the side rail risks the unconscious client falling; it should remain up for safety.
Question 2 of 5
A patient has a pooling of blood under unbroken skin of the hip after a fall. The nurse should document that this patient has a/an:
Correct Answer: D
Rationale: A hematoma is a collection of blood under intact skin, caused by trauma like a fall.
Question 3 of 5
A nurse is preparing to administer sucralfate 80 mg/kg/day to divide into four doses per day to a child who weighs 35 kg. The amount available is sucralfate oral suspension 1 g/10 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 7
Rationale:
Total daily dose: 80 mg/kg × 35 kg = 2800 mg. Per dose: 2800 mg ÷ 4 = 700 mg. 700 mg = 0.7 g; 1 g/10 mL means 0.7 g = 7 mL.
Question 4 of 5
A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client. Which of the following ethical principles is the nurse implementing?
Correct Answer: D
Rationale: Beneficence involves acting in the client's best interest, such as reducing pain before a procedure.
Question 5 of 5
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
Correct Answer: D
Rationale: Gloves are removed first as they are most contaminated, preventing pathogen spread during PPE removal.