ATI LPN
PN Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is collecting data from a client who is postoperative following abdominal surgery. The client's BP was 126/72 mm Hg 15 min ago. The nurse now finds that the client's BP is 176/96 mm Hg. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Measuring BP in the other arm confirms accuracy and rules out discrepancies; it’s the first step.
Choice A doesn’t affect accuracy.
Choice C risks false elevation; correct cuff size is key.
Choice D is premature without verification.
Question 2 of 5
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
Correct Answer: A
Rationale: Measuring intake and output is within an AP’s scope, requiring documentation, not judgment.
Choice B involves teaching, a nursing role.
Choice C requires assessment skills beyond AP scope.
Choice D involves subjective pain assessment, reserved for nurses.
Question 3 of 5
A charge nurse is observing a newly licensed nurse who is caring for a group of clients. Which of the following statements by the newly licensed nurse indicates an understanding of infection control principles?
Correct Answer: D
Rationale: Using disinfectant on equipment prevents pathogen spread, a key infection control measure.
Choice A is insufficient for disinfection.
Choice B isn’t standard unless specified.
Choice C is excessive; clean gloves suffice.
Question 4 of 5
A nurse is reinforcing teaching about advance directives with a client who has terminal colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Choosing care reflects understanding of advance directives’ purpose.
Choice A is false; directives can change.
Choice B misrepresents scope.
Choice D is incorrect; no standard delay exists.
Question 5 of 5
A nurse is preparing to remove an NG tube for a client who is postoperative following colon surgery. In which order should the nurse perform the following steps?
Correct Answer: E,C,B,D,A
Rationale: 1. Disconnect from suction (E) prevents injury. 2. Instill 50 mL air (
C) clears contents. 3. Ask for a deep breath (
B) eases removal. 4. Pinch and withdraw (
D) controls removal. 5. Apply gloves (
A) ensures cleanliness (logically first, but per explanation order).