ATI LPN
PN Fundamentals 2023 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is caring for a postoperative client who reports difficulty sleeping due to noise. Which of the following interventions is appropriate for the nurse to implement?
Correct Answer: C
Rationale: Conducting staff communications away from the client's room reduces noise and promotes a restful environment.
Question 2 of 5
A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.
Correct Answer: D,E,A,C,B
Rationale: D: Set up surface. E: Remove cover. A: Open outermost flap. C: Open side flaps. B: Open innermost flap maintains sterility.
Question 3 of 5
The client is at risk for developing ___ as evidenced by the client's ___
Correct Answer: A,B
Rationale: A: Chemotherapy lowers immunity, increasing infection risk. B: Decreased WBC count (4,000/mm³) indicates leukopenia.
Question 4 of 5
Which of the following actions should the nurse take to promote the client's respiratory status? Select all that apply.
Correct Answer: A,D,E,F
Rationale: A: Splinting reduces pain during coughing. D: Incentive spirometry prevents atelectasis. E: Coughing and deep breathing clear secretions. F: Ambulation post-analgesic promotes lung expansion.
Question 5 of 5
A nurse is collecting data from a client about bowel elimination. Which of the following statements by the client indicates a risk for impaired bowel elimination?
Correct Answer: B
Rationale: Opioids slow bowel motility, increasing constipation risk.