ATI LPN Fundamentals Exam III

Extract:

A nurse is administering medications via a feeding tube

Question 1 of 5

Why is it necessary to flush a feeding tube with water between each medication administration?

A. To ensure that fluid and electrolyte balance is maintainedB. To give the patient some much needed fluid intakeC. To prevent interaction of medication with each otherD. None of the above

Correct Answer: C

Rationale: Flushing the feeding tube with water between medication administrations helps prevent interactions between medications that may be incompatible, ensuring each medication is delivered effectively and safely.

Extract:

A nurse is preparing to administer NPH insulin to a client

Question 2 of 5

A nurse is preparing to administer NPH insulin to a client. Which of the following actions should the nurse take?

A. Aspirate the injection after inserting the needle.B. Inject the insulin 2.5 cm (1 in) from the client's naval.C. Administer the insulin into a muscle.D. Gently roll the insulin vial to mix.

Correct Answer: D

Rationale: NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.

Extract:

A nurse is assisting with preparing a teaching plan for a client who has diabetes mellitus

Question 3 of 5

A nurse is assisting with preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

A. Ask the client to demonstrate checking their blood sugar.B. Determine the client's readiness to learn.C. Identify short-term goals for the client.D. Provide written educational material for the client.

Correct Answer: B

Rationale: Determining the client's readiness to learn is the first step in effective teaching to ensure that the client is receptive to receiving information and can actively engage in the learning process.

Extract:

A nurse is reinforcing teaching with a client about using transdermal patches at home

Question 4 of 5

A nurse is reinforcing teaching with a client about using transdermal patches at home. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

A. "I will use lotion on the irritated skin before applying a new patch in that area."B. "I will clean and dry the area before applying the patch."C. "I will press the patch securely in place on my forearm."D. "I will remove the old patch and apply a new one in the same location."

Correct Answer: B

Rationale: Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.

Extract:

A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse

Question 5 of 5

A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

A. A medical record can be used as evidence in a court of lawB. A nurse should ensure the documentation is organized and completed in a timely fashionC. Documentation should include the nurse's interpretation of the client situationD. Data contained in a client's medical record can be shared with all employees within a health care facilityE. Information recorded in the client's medical record must be accurate and complete.

Correct Answer: A,B,E

Rationale: A. A medical record can be used as evidence in a court of law. B. Documentation should be organized and timely to ensure accuracy. E. Information must be accurate and complete to support safe care and legal purposes.

ATI LPN Fundamentals Exam III | Nurselytic

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