ATI LPN
ATI LPN Fundamentals Exam II Questions
Extract:
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum
Question 1 of 5
Upon inspecting a client's skin, a nurse identifies a stage 3 pressure ulcer on the sacrum. Which statement best describes a stage 3 pressure ulcer?
Correct Answer: C
Rationale: A stage 3 pressure ulcer involves full-thickness skin loss that appears as a deep crater. The ulcer may extend into the subcutaneous tissue layer, but not through it to the underlying muscle or bone.
Extract:
A nurse is caring for a school-age child with respiratory failure due to pneumonia
Question 2 of 5
A nurse is caring for a school-age child with respiratory failure due to pneumonia. Which position should the nurse encourage to allow for maximal lung expansion?
Correct Answer: D
Rationale: The upright position is typically recommended for a child with respiratory failure due to pneumonia. Sitting upright can help to maximize lung expansion and improve oxygenation.
Extract:
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails
Question 3 of 5
A nurse is preparing to measure a client's oxygen saturation and notes edema of the client's hands and thickened toenails. Where should the nurse apply the pulse oximeter probe?
Correct Answer: D
Rationale: The earlobe is a suitable alternative site for pulse oximetry if the fingers and toes are not viable options due to edema or thickened toenails. The earlobe is typically less affected by peripheral vasoconstriction.
Extract:
A nurse is caring for a client with urinary incontinence
Question 4 of 5
A nurse is caring for a client with urinary incontinence. What action should the nurse take to prevent skin breakdown?
Correct Answer: B
Rationale: Applying a moisture barrier ointment to the skin can help protect the skin from the damaging effects of urine. This can help prevent skin breakdown and is a common practice in the care of clients with urinary incontinence.
Extract:
A nurse is performing chest physiotherapy on a client with a respiratory infection
Question 5 of 5
A nurse is performing chest physiotherapy on a client with a respiratory infection. Which technique should the nurse use to increase the velocity and turbulence of the client's exhaled air?
Correct Answer: A
Rationale: Vibration is a technique used in chest physiotherapy to increase the turbulence of the client's exhaled air. It involves the use of manual or mechanical techniques to create vibrations in the chest wall during exhalation.