ATI LPN
ATI PN Fundamentals Updated 2023 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 125/85 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 the client's BP in the other arm is the correct action to confirm the accuracy of the reading and rule out errors. A narrower cuff or faster deflation can skew results, and requesting medication is premature without verifying the elevation and assessing its cause.
Question 2 of 5
A nurse is collecting data from a client who has an NG tube in place for gastric decompression. Which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: Gastric contents in the air vent indicate that the NG tube is clogged or kinked, which can lead to aspiration or infection, and should be reported. Greenish-yellow drainage and hunger are normal, and abdominal distention should improve with decompression.
Question 3 of 5
A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?
Correct Answer: D
Rationale: Thinking about a pleasant place like a farm is guided imagery, altering pain perception through imagination. Music, tension awareness, and breathing are distraction, mindfulness, and relaxation, respectively.
Question 4 of 5
A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to promote communication?
Correct Answer: C
Rationale: Decreasing background noise improves the client's ability to hear and understand. Rapid speech, short phrases, or loud voices can distort communication or cause discomfort.
Question 5 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.