1. A nurse is reviewing information about ad- c. Advance directives include a living well
vance directives
with a newly admitted client.
Which of the following statements by the
client indicates an
understanding of the information?
2. A nurse on a medical surgical unit is assist- b. Document the client's decision about
ing with the end-of-life care in the medical record
admission of a client who has
advanced lung cancer. Which of the follow-
ing actions regarding
advance directives should the
nurse take?
3. A nurse is reinforcing teaching with a client ¢I do not need to name a relative as my
about advance designee in my health
directives and a care proxy
healthcare proxy which of the following
client statements and
the kids and
understanding of the teaching
4. A nurse is reinforcing teaching about ad- "I know I can change my advance direc-
vance directives with tives if I need to in the
a client who has end-stage heart future."
failure. Which of the following statements
by the client indicates
an understanding of the
teaching?
5.
, ATI LPN Exit Exam
A nurse is caring for a client who speaks a Supplement spoken language with pic-
different language tures. Or review the
than the nurse. Which of facility policy about the use of an
the following actions should the nurse take? interpreter
6. A nurse is caring for a client who speaks a b. Request the services of an interpreter
different language to determine the clients
than the nurse. The clients wishes
partner tells the nurse that the client would
like to go home
against medical advice (AMA). Which of the
actions should the nurse take?
a. Discharge the client and notify the health
care provider
b. Request the services of an interpreter to
determine the clients
wishes
c. Have the client's partner sign an AMA
form
d. Ask the partner to reiterate the conse-
quences of leaving AMA
to the client
7. A nurse at long term care facility is review- b. Assist the client with range of motion
ing the plan of care exercises of the hands
who has a prescription for
mitten restraints. Which of the following
tasks should the nurse
assign to assistive personnel?
a. Evaluate the need client
b. Assist the client with range of motion
exercises of the hands
, ATI LPN Exit Exam
c. Determine the circulation status
d. Instruct the client's family about purpose
mitten restraint
8. 8.A nurse in an acute mental health facility b. Plan to remove the restraints as soon as
is caring for an the clients is calm
adolescent who is exhibiting
destructive behavior. Which of the following
actions should the
nurse take after applying
physical restraints to the client?
a. Monitor the client's range of motion every
60 min.
b. Plan to remove the restraints as soon as
the clients is calm
c. Offer the clients nutritious snack every 4
hr.
d. Ensure that the procedure has signed a
prescription for
restrain within 48 hr.
9. A nurse in a mental health facility receives a 1. A client placed in restraints for aggres-
change of shift sive behavior
report on 4 clients. Which of the
following clients should the nurse plan to
assess first?
1. A client placed in restraints for aggressive
behavior
2. A new limited client presents history of
4.5kg weight loss in
the past two
months
, ATI LPN Exit Exam
3. Client is receiving a PRN dose of haloperi-
dol two hours ago
for increased
anxiety
4. Client will receive his first ECT treatment
today
10. A nurse on a mental health unit is caring for Check the client's status every hour.
a client who is
in restraints. Which of the
following actions should the nurse take?
-Check the client's status every hour.
-Document the client's behavior leading to
the initiation of
restraints.
-Obtain written consent by the client for the
placement of the
restraints.
-Release the client's restraints every 4 hr.
11. A nurse is caring of a client who is confused a. Remove the restraints from the client's
and is trying to wrists every 2 hr.
pull out their IV catheter. After
attempting other measures to prevent the
client from self-harm,
the nurse places wrist
restraints on the client. Which of the follow-
ing actions should
the nurse take?
a. Remove the restraints from the client's
wrists every 2 hr.
b. Fasten the restrains ties to the bed's side