ATI LPN
ATI PN Fundamentals Updated 2023 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is caring for a group of clients. Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: D
Rationale: Raising all four side rails of a client's bed is a safety hazard because it increases the risk of injury if the client tries to climb over them. It also restricts the client's mobility and may cause feelings of isolation and imprisonment. It is a violation of the client's rights and dignity. A weight-sensitive sensor mat is a safety measure to prevent falls, a buzzing sensation from a TENS unit is expected, and a capillary refill of less than 2 seconds indicates good perfusion.
Question 2 of 5
A nurse is assisting with scoliosis screenings for students at a public school. Which of the following findings should the nurse recognize as an indication of scoliosis?
Correct Answer: D
Rationale: Unequal height of the shoulders is a classic sign of scoliosis due to spinal curvature. The other options indicate kyphosis, lordosis, or emphysema, respectively.
Question 3 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.
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: A
Rationale: Tightening the abdominal muscles supports the spine and prevents injury. Bending at the waist, keeping legs straight, or holding the object away increases back strain.
Question 5 of 5
A nurse is providing teaching with a client who has severe arthritis and has difficulty with stairs. What should the nurse include in the teaching?
Correct Answer: B
Rationale: Maintaining arms in a slightly bent position when using handrails enables the client to use them as support and reduces stress on the arms and shoulders. The other options can lead to imbalance, instability, or strain.