ATI LPN
ATI PN Fundamentals 2023 Exam 4 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: C
Rationale: Measuring in the other arm confirms accuracy of the elevated reading.
Question 2 of 5
A nurse in a long-term care facility is caring for a client who has a gastrostomy feeding tube. Prior to administering medications, which of the following findings should the nurse report to the provider?
Correct Answer: C
Rationale: A pH of 6.5 suggests possible tube misplacement, requiring immediate reporting.
Question 3 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: C
Rationale: Measuring intake and output is within the AP’s scope and appropriate for delegation.
Question 4 of 5
A nurse is caring for a client who is dying. One of the client's family members tells the nurse, 'I need to help. What can I do?' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Involving the family member in care provides purpose and comfort.
Question 5 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: A
Rationale: Guided imagery involves visualizing a calming scene like a farm to distract from pain, reducing stress and perception of discomfort.