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Exam (elaborations)

LPN ATI FUNDAMENTAL EXAM 2023 QUESTIONS AND 100% CORRECT ANSWERS

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LPN ATI FUNDAMENTAL EXAM 2023 QUESTIONS AND 100% CORRECT ANSWERS A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? A. Place the client in a room with another client who has pharyngitis. B. Ensure that the client wears a surgical mask during transportation throughout the facility. C. Limit the client's visitors to visitations of 30 minutes. D. Provide the client a room with negative pressure airflow of six air exchanges per hour.

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LPN ATI FUNDAMENTAL
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LPN ATI FUNDAMENTAL EXAM 2023 QUESTIONS AND 100% CORRECT ANSWERS Question 1: A nurse is contributing to the plan of care for a client who has a positive throat culture for streptococci. Which of the following interventions should the nurse recommend to be included in the plan of care? A. Place the client in a room wit h another client who has pharyngitis. B. Ensure that the client wears a surgical mask during transportation throughout the facility. C. Limit the client's visitors to visitations of 30 minutes. D. Provide the client a room with negative pressure airflow of si x air exchanges per hour. Explanation A: Incorrect. Placing the client in a room with another client who has pharyngitis could increase the risk of cross -infection, as both clients have infectious throat conditions. B: Correct. Wearing a surgical mask du ring transportation throughout the facility is essential to prevent the spread of streptococcal infection to others. Streptococci are highly contagious, and wearing a mask can reduce the risk of transmitting the infection to other individuals. C: Incorrect . Limiting the client's visitors is not directly related to preventing the spread of streptococcal infection. It may be a reasonable measure for infection control in general, but it is not specific to this situation. D: Incorrect. Providing the client with a room with negative pressure airflow is a measure typically used for airborne infections like tuberculosis. Streptococcal infections do not require negative pressure rooms. Question 2: A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? A. The client leans on the crutches f or support while standing still. B. The client advances the unaffected leg first while climbing stairs. C. The client stands 5 cm (2 in) from the front of a chair before sitting. D. The client bears weight on their axilla while standing in the tripod position . Explanation A: Incorrect. Leaning on the crutches for support while standing still is not the correct way to use crutches. It can lead to discomfort and instability. B: Correct. The client should advance the unaffected leg first while climbing stairs w hen using crutches. This technique ensures better stability and safety during stair ascent. C: Incorrect. Standing 5 cm (2 in) from the front of a chair before sitting is not directly related to the use of crutches. D: Incorrect. Bearing weight on the axil la while standing in the tripod position is not the correct way to use crutches. The tripod position is used for resting, not weight bearing. Question 3: A nurse is assisting with the plan of care for four clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)? A. Ensure a client can use crutches before discharge. B. Check a client's ability to swal low following a stroke. C. Obtain a client's pain rating prior to physical therapy. D. Assist a client to get out of bed after a breathing treatment. Explanation A: Incorrect. Ensuring a client can use crutches before discharge requires clinical judgment a nd skilled assessment, so it should not be delegated to assistive personnel. B: Incorrect. Checking a client's ability to swallow following a stroke involves assessing the client's airway and potential risk of aspiration, which is a complex nursing task an d should not be delegated to assistive personnel. C: Incorrect. Obtaining a client's pain rating prior to physical therapy requires understanding the client's pain and its management, which should not be delegated to assistive personnel. D: Correct. Assist ing a client to get out of bed after a breathing treatment can be safely delegated to assistive personnel. It involves helping the client move, which is within the scope of their training. Question 4: A nurse is reinforcing teaching with a client about the use of crutches. Which of the following actions by the client indicates an understanding of the teaching? A. The client leans on th e crutches for support while standing still. B. The client advances the unaffected leg first while climbing stairs. C. The client stands 5 cm (2 in) from the front of a chair before sitting. D. The client bears weight on their axilla while standing in the tri pod position. Explanation A: Incorrect. Leaning on the crutches for support while standing still is not the correct way to use crutches. It can lead to discomfort and instability. B: Correct. The client should advance the unaffected leg first while climb ing stairs when using crutches. This technique ensures better stability and safety during stair ascent. C: Incorrect. Standing 5 cm (2 in) from the front of a chair before sitting is not directly related to the use of crutches. D: Incorrect. Bearing weight on the axilla while standing in the tripod position is not the correct way to use crutches. The tripod position is used f or resting, not weight bearing. Question 5: A nurse is caring for a postoperative client who is at risk for thrombus formation. Which of the following interventions should the nurse delegate to an assistive personnel (AP)? A. Apply thromboembolic stockings. B. Moni tor the circulation in all four extremities. C. Record the condition of the client's skin. Explanation A: Correct. Applying thromboembolic stockings (compression stockings) to the client's legs is a task that can be safely delegated to assistive personnel . The nurse should provide clear instructions on how to apply them properly. B: Incorrect. Monitoring the circulation in all four extremities requires clinical judgment and skilled assessment, and it should not be delegated to assistive personnel. C: Incor rect. Recording the condition of the client's skin requires observation and assessment, which should not be delegated to assistive personnel. Question 6: A nurse is reinforcing teaching about health promotion with a group of young adult clients. Which of the following information should the nurse include? A. Young adults should receive a dental assessment every 6 months. B. Young adult males should have a testicular examination every 5 years. C. Young adult females should have a routine physical examination every 4 years. D. Young adults should receive a tuberculosis skin test every 3 years. Explanation A: Correct. Regular dental asse ssments every 6 months are recommended for all individuals, including young adults, to maintain good oral health and detect any potential issues early. B: Incorrect. Testicular examinations are important for young adult males, but they should be performed monthly as part of testicular self -examination, not every 5 years. C: Incorrect. Young adult females should have a routine physical examination annually, not every 4 years, to monitor their overall health and address any potential health concerns. D: Incor rect. While tuberculosis screening is essential in certain populations, such as healthcare workers or individuals at high risk of exposure, a tuberculosis skin test every 3 years is not a standard recommendation for all young adults. Question 7: A nurse is caring for a client who is postoperative following abdominal surgery. Nurses Notes: Neurological findings, incisional drainage, Urinary cutout, Client received from PACU with initial vital signs recorded. The client is drowsy but aroused by verbal stim uli. The client is oriented to person, place, and time. The client can move all extremities. Hypoactive bowel sounds. Abdominal dressing is intact with drainage noted. An indwelling urinary catheter is in place and draining yellow urine. Infusing lactated Ringer's solution at 100 mL/hr to the right

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