ATI LPN
ATI PN fundamentals 2023 Exam 2 Questions
Extract:
0800:
The client is alert and oriented to person, place, and time. Seizure pads placed on the client's bed. Suction equipment is at the client's bedside and functioning. Oxygen equipment is at the client's bedside.
1000:
Client is in bed and reports experiencing an aura, followed by generalized jerking contractions of arms and legs. Client incontinent of urine and unresponsive to commands.
1004:
Client's jerking contractions of arms and legs stopped. Client is confused and lethargic. Bilateral breath sounds clear. Oxygen applied 3 L/min via nasal cannula. Oxygen saturation 95%.
Question 1 of 5
At 1000 the nurse enters the client's room. The first action the nurse should take is followed by
Correct Answer: A,B
Rationale: Removing pillows prevents airway obstruction; turning to the side aids drainage during a seizure.
Extract:
Question 2 of 5
A nurse is contributing to a community center's in-service program about early detection of breast cancer. Which of the following recommendations should the nurse make for female clients who do not have a family history of breast cancer?
Correct Answer: D
Rationale: Mammograms starting at 40 align with standard screening guidelines for average-risk women.
Question 3 of 5
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?
Correct Answer: D
Rationale: Disclosure to an interpreter facilitates care and is permitted under HIPAA without consent.
Extract:
A nurse is caring for a client who is postoperative.
Medication Administration Record
0830:
Morphine 10 mg subcutaneous every 3 hr PRN pain
Question 4 of 5
What documentation in the client's medical record requires further action by the nurse.
Correct Answer: B,C,D
Rationale:
Extract:
Question 5 of 5
A nurse is reinforcing teaching about beginning an exercise program with an older adult client who is at risk for osteoporosis. Which of the following activities should the nurse recommend?
Correct Answer: B
Rationale: Walking, a weight-bearing exercise, strengthens bones, reducing osteoporosis risk safely.