ATI LPN
ATI PN fundamentals 2023 Exam 2 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: A
Rationale: Reducing noise near the client’s room promotes a sleep-friendly environment.
Question 2 of 5
A nurse is caring for a client who is postpartum. Which of the following documentations should the nurse include in the client's health record?
Correct Answer: C
Rationale: Documenting episiotomy details is critical for assessing postpartum healing and infection risk.
Extract:
0800:
The client is alert and oriented to person, place, and time. Seizure pads placed on the client's bed. Suction equipment is at the client's bedside and functioning. Oxygen equipment is at the client's bedside.
1000:
Client is in bed and reports experiencing an aura, followed by generalized jerking contractions of arms and legs. Client incontinent of urine and unresponsive to commands.
1004:
Client's jerking contractions of arms and legs stopped. Client is confused and lethargic. Bilateral breath sounds clear. Oxygen applied 3 L/min via nasal cannula. Oxygen saturation 95%.
Question 3 of 5
At 1000 the nurse enters the client's room. The first action the nurse should take is followed by
Correct Answer: A,B
Rationale: Removing pillows prevents airway obstruction; turning to the side aids drainage during a seizure.
Extract:
Question 4 of 5
A nurse is assisting with the care of a client who is experiencing dysphagia following a recent stroke. The nurse should initiate a referral to which of the following interprofessional team members?
Correct Answer: B
Rationale: Speech-language pathologists specialize in dysphagia, assessing and treating swallowing issues post-stroke.
Question 5 of 5
A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Calf swelling is a key sign of DVT, indicating possible venous obstruction needing urgent evaluation.