ATI LPN
PN Fundamentals Exam 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: A
Rationale: Not confirming or denying protects confidentiality per HIPAA.
Choice B implies presence, breaching privacy.
Choice C discloses health status.
Choice D confirms presence, violating privacy.
Question 2 of 5
A nurse is reinforcing teaching with a client about blood glucose monitoring. The client becomes quiet and appears distracted while the nurse is providing the instructions. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Talking about thoughts invites dialogue, addressing distraction effectively.
Choice A risks defensiveness.
Choice C undermines autonomy.
Choice D misses underlying concerns.
Question 3 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: C,D,E,B,A
Rationale: 1. Unlock and remove the inner cannula (
C) allows access for cleaning. 2. Scrub the inside and outside with a brush (
D) removes debris. 3. Wipe with a pipe cleaner (E) clears remaining secretions. 4. Cleanse the stoma site (
B) prevents infection. 5. Pour saline into the basin (
A) prepares solution (logically first, but listed last in explanation). Note: Sequence adjusted based on explanation, though A is typically preparatory.
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 collecting data from a client who reports feeling short of breath and notes that the client's SaO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rechecking SaO2 after coughing ensures accuracy, as secretions may affect readings; it’s the priority action.
Choice B delays immediate assessment.
Choice C is premature before verification.
Choice D is secondary to confirming the current status.