ATI LPN
ATI PN Fundamentals 2023 Questions
Extract:
Nurses'Notes
Day 1:
Client reports to clinic following trip to emergency department (ED) after a fall at home. Reports slipping
on a floor rug and hurting left ankle.
ray report taken in ED shows left lateral malleolus fracture. Removable boot immobilizer in place, using
a cane for assistance in ambulating
Boot immobilizer removed, left ankle with edema +2. Client reports pain as 6 on a scale of 0 to 10.
Client states they were prescribed pain medication by ED provider. Client lives alone.
Reports being "down to 1⁄2 pack of cigarettes, least 3 cups of coffee daily. States their mother was
always breaking something.
Day 3:
Bone Mineral Density DEXA scan -3.8 (-1 or above)
Question 1 of 5
Based on the client's laboratory and diagnostic results, indicate which of the following provider prescriptions the nurse should expect. A nurse in a provider's clinic is assisting in the care of an older adult female client. For each provider prescription click to specify if the provider prescription is expected or unexpected for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.
| Options | Expected | Unexpected |
|---|---|---|
| Physical therapy for muscle-strengthening and balance-training | ||
| Calcium 1500 mg po once daily on empty stomach | ||
| Vitamin D supplement 2,500 units daily | ||
| Home health evaluation of home safety | ||
| Increase caffeine intake | ||
| Increase daily sun exposure |
Correct Answer: A, B, C, D
Rationale: A: Improves strength and reduces fall risk. B, C: Address osteoporosis (DEXA -3.8). D: Ensures safe environment.
Extract:
Question 2 of 5
A nurse is collecting data from a client who has a stage 4 pressure injury. Which of the following supplies should the nurse obtain?
Correct Answer: D
Rationale: A syringe is used for irrigation to clean a stage 4 pressure injury with deep tissue involvement.
Question 3 of 5
The nurse is reinforcing discharge teaching with the client and their caregiver. Which of the following information should the nurse include? Select all that apply.
Correct Answer: A,E,F,G
Rationale: A: Safety precaution. E: Standard antibiotic duration. F: Accessibility for emergencies. G: Morning steroids reduce adrenal suppression.
Question 4 of 5
A nurse is collecting data from a client who reports feeling short of breath and notes that the client's SpO2 level is 88% while on room air. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Rechecking SpO2 after clearing the airway rules out temporary obstruction as the cause.
Question 5 of 5
A nurse at a long-term care facility is reinforcing teaching with a newly licensed nurse about the proper use of restraints. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A,C,E
Rationale: A: Frequent skin checks prevent injury. C: Two fingers ensure proper fit. E: Padding protects bony areas.