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:
A nurse is assisting with developing a plan of care for a client.
Exhibit 1
Nurses' Notes
2 days ago:
Client admitted to telemetry unit for uncontrolled atrial fibrillation. Admission skin assessment, area of intact, blanchable skin on client's coccyx.
Today, 0900:
Wound on client's coccyx no longer covered with intact skin. Wound involves full-thickness skin loss, shallow depth with no tunneling. New granulation noted. Minimal amount of exudate noted. Client reports wound pain as 5 on a scale of 0 to 10 and is unable to find a comfortable position.
Question 2 of 5
Complete the following sentence by using the lists of options. The nurse understands that which of the following dressing should be added to the plan of care
Correct Answer: A
Rationale: Hydrocolloid dressings promote healing in full-thickness wounds with minimal exudate.
Extract:
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: A, D, B, C, E
Rationale: Sequence ensures sterile preparation and cleaning: remove cannula, prepare solution, scrub, wipe, cleanse stoma.
Extract:
Nurses' Notes
Vital Signs
Diagnostic Results
6 months ago:
Client present today for annual examination. Reports lack of sleep and increased stress due to moving and starting a new job.
Today, 1400:
Client presents to office today with reports of fatigue. Client states they have difficulty sleeping without drinking four or five beers a night. Client reports, "I sometimes get headaches along with nausea and vomiting. I have been busy with my new job, so I have been eating a lot of fast food, and I've gained 15 pounds."
Today, 1445.
Provider notified of laboratory results.
Question 4 of 5
A nurse is assisting in the care of a client in a provider's office. A nurse is planning care for the client. Which of the following prescriptions should the nurse anticipate the provider to prescribe?
Correct Answer: A, B, C, D
Rationale: A: Addresses fluid retention from fast food. B, C, D: Manage weight gain and hypertension risks.
Extract:
Question 5 of 5
A nurse is preparing to set up a sterile field to change a sterile dressing on a client's abdominal wound. Identify the sequence of steps the nurse should take.
Order the Items
Source Container
Correct Answer: C, A, B, D, E
Rationale: Sequence maintains sterility: prepare surface, open kit, unfold flaps systematically.