ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is assisting in monitoring a client who is receiving a tube feeding.
Question 1 of 5
Which of the following findings should the nurse identify as the priority?
Correct Answer: A
Rationale: This temperature is slightly elevated and could indicate infection or other underlying issues, making it the priority finding to address promptly.
Extract:
A nurse is caring for a client who comes to the clinic to be tested for tuberculosis (TB) after a close family contact tests positive.
Question 2 of 5
Which of the following measures should the nurse anticipate preparing for this client?
Correct Answer: D
Rationale: The tuberculin skin test is the initial step to detect TB exposure, indicating whether further testing is needed.
Extract:
The nurse is caring for a client who has a pneumothorax and a water-seal chest tube drainage system to suction.
Question 3 of 5
Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Keeping the drainage container below chest level ensures proper drainage and prevents fluid backflow.
Extract:
A nurse is discussing pressure ulcer staging with a newly licensed nurse.
Question 4 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 caring for a client who has paraplegia and is on an intermittent urinary catheterization program.
Question 5 of 5
Which of the following findings indicates to the nurse the need to catheterize the client?
Correct Answer: B
Rationale: Suprapubic discomfort suggests bladder distension, indicating the need for catheterization to prevent complications.