ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour.
Question 1 of 5
Which of the following actions should the nurse perform first?
Correct Answer: B
Rationale: Checking tubing patency addresses potential obstructions, the most likely cause of no urinary output, before escalating care.
Extract:
A nurse is discussing pressure ulcer staging with a newly licensed nurse.
Question 2 of 5
Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?
Correct Answer: A
Rationale: A stage 3 pressure ulcer is characterized by full-thickness skin loss that may extend into the subcutaneous tissue layer but does not involve exposure of muscle, tendon, or bone. The ulcer appears as a deep crater, and there may be damage to the surrounding tissue as well.
Extract:
A nurse is reinforcing teaching with a client who has received treatment for kidney stones.
Question 3 of 5
The nurse should remind the client to increase intake of which of the following?
Correct Answer: D
Rationale: Increased water intake dilutes urine, reducing the risk of kidney stone formation.
Extract:
An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia.
Question 4 of 5
Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A mask protects against respiratory droplet transmission, appropriate for pneumonia precautions.
Extract:
An older adult client in a long-term care facility had a stroke 4 weeks ago and has been unable to move independently since that time.
Question 5 of 5
The nurse caring for her should observe for which of the following findings that indicates a complication of immobility?
Correct Answer: B
Rationale: A reddened sacral area signals a potential pressure ulcer, a common immobility complication.