ATI LPN
ATI PN Fundamentals 2020 with NGN Questions
Extract:
Question 1 of 5
While assessing the client's abdomen, you note that the Jackson-Pratt drain's reservoir is expanded and half full of blood. Which is the appropriate action for you to take at this time?
Correct Answer: A
Rationale: Emptying the reservoir maintains drainage function and allows monitoring of output; significant changes would then prompt notifying the surgeon.
Question 2 of 5
A nurse is caring for a client who has a hip fracture and plans to administer pain medication prior to turning the client. Which of the following ethical principles is the nurse implementing?
Correct Answer: D
Rationale: Beneficence involves acting in the client's best interest, such as reducing pain before a procedure.
Question 3 of 5
A nurse is disinfecting the room of a client who has a Clostridium difficile infection. Which of the following solutions should the nurse use?
Correct Answer: C
Rationale: Chlorine bleach is effective against C. difficile spores, unlike the other options.
Question 4 of 5
A nurse observes assistive personnel (AP) perform mouth care for a client who is unconscious. Which of the following actions by the AP requires intervention by the nurse?
Correct Answer: A
Rationale: Lowering the side rail risks the unconscious client falling; it should remain up for safety.
Question 5 of 5
A nurse is collecting data from a client who is immobile and has a potential deep vein thrombosis. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: Calf swelling is a classic sign of deep vein thrombosis, requiring immediate reporting for intervention.