ATI LPN
ATI PN Fundamentals Questions
Extract:
A nurse is discussing pressure ulcer staging with a newly licensed nurse.
Question 1 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 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 2 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 collecting data from a client.
Question 3 of 5
Which of the following findings should the nurse report to the charge nurse as an indicator of dehydration?
Correct Answer: A
Rationale: Skin tenting indicates dehydration due to loss of skin elasticity from reduced fluid volume.
Extract:
The nurse is preparing to administer ear drops to an adult client.
Question 4 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: C
Rationale: Pulling the pinna upward and backward straightens the ear canal in adults, allowing effective delivery of ear drops.
Extract:
A nurse is assisting an adolescent client in the selection of complementary protein sources on the lunch menu. The client is a vegetarian who eats milk products but does not like beans.
Question 5 of 5
Which of the following food items should the nurse recommend?
Correct Answer: D
Rationale: Peanut butter is a plant-based protein source and enriched bread provides carbohydrates. Peanut butter is a good source of protein for vegetarians and is a suitable option for the adolescent client who does not like beans.