ATI LPN
ATI PN Fundamentals 2023 Exam 4 Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit receives a telephone call from an individual who identifies himself as the client's employer. The employer asks the nurse about the client's condition. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: This response protects confidentiality under HIPAA by not disclosing client presence.
Question 2 of 5
A nurse is preparing to provide tracheostomy care to a client who has a chronic tracheostomy. In which order should the nurse complete the following steps?
Correct Answer: B,A,C,D,E
Rationale: B: Prepare solution. A: Remove cannula. C: Scrub cannula. D: Wipe cannula. E: Cleanse stoma maintains sterility.
Question 3 of 5
A nurse in a long-term care facility is caring for a client who has a tracheostomy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Preoxygenation prevents hypoxia during suctioning, enhancing safety.
Question 4 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: A
Rationale: Unequal shoulder height is a classic sign of scoliosis due to lateral spinal curvature.
Question 5 of 5
A nurse is caring for a 65-year-old male client in the emergency department. The client is presenting with symptoms of a potential cardiac event and has been admitted for further evaluation. Complete the following sentence by selecting the most appropriate actions based on the client’s current status. The nurse should first ___ then ___.
Correct Answer: A,B
Rationale: A: Notifying the provider addresses potential cardiac event urgency. B: IV line ensures rapid medication access.