ATI LPN EXIT EXAM
1. A nurse is reviewing information about advance directives with a newly admitted client.
Which of the following statements by the client indicates an understanding of the
information?
: c. Advance directives include a living well
2. A nurse on a medical surgical unit is assisting with the admission of a client who has
advanced lung cancer. Which of the following actions regarding advance directives should
the nurse take?
: b. Document the client's decision about end-of-life care in the medical record
3. A nurse is reinforcing teaching with a client about advance directives and a healthcare
proxy which of the following client statements and the kids and understanding of the
teaching
: c. I do not need to name a relative as my designee in my health care proxy
4. A nurse is reinforcing teaching about advance directives with a client who has end-stage
heart failure. Which of the following statements by the client indicates an understanding of
the teaching?
:"I know I can change my advance directives if I need to in the future."
5. A nurse is caring for a client who speaks a different language than the nurse. Which of
the following actions should the nurse take?
: Supplement spoken language with pictures. Or review the facility policy about the use of an
interpreter
6. A nurse is caring for a client who speaks a different language than the nurse. The clients
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 consequences of leaving AMA to the client
: b. Request the services of an interpreter to determine the clients wishes
7. A nurse at long term care facility is reviewing the plan of care 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
c. Determine the circulation status
d. Instruct the client's family about purpose mitten restraint
: b. Assist the client with range of motion exercises of the hands
8. A nurse in an acute mental health facility is caring for an 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.
: b. Plan to remove the restraints as soon as the clients is calm
9. A nurse in a mental health facility receives a change of shift 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 4.5 kg weight loss in the past two months
,3. Client is receiving a PRN dose of haloperidol two hours ago for increased anxiety
4. Client will receive his first ECT treatment today
:1. A client placed in restraints for aggressive behavior
10. A nurse on a mental health unit is caring for 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.
: Check the client's status every hour.
11. A nurse is caring of a client who is confused and is trying to 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 following 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 rail
c. Contact the provide within 48 hr. to obtain a prescription for the restrain
d. Check that one finger will fit between the client's wrist and the restraints
: a. Remove the restraints from the client's wrists every 2 hr.
12. The nurse delegates a task to an AP and the AP refuses to complete the assigned task.
Which of the following actions should the nurse take?
: Report the AP to the risk manager
13. A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
, b. The client's length of facility stay
c. The client's age
d. The AP's job description
: d. The AP's job description
14. A nurse in a long-term care facility is delegating care for a group of clients for the
upcoming shift which of the following tasks the nurse delegate to assistive personnel (select
all that apply):
-Measure vital signs for a client who requires contact precaution,
-record urine output for a client who has a super pubic catheter, trees for a client who is receiving
radiation therapy to radiology
15. A nurse on a hospice unit is caring for a client who has cancer and is in the active phase
of dying. Which of the following findings requires intervention by the nurse?
a. Benzodiazepines are administered every 4hr
b. Supplemental oxygen in use
c. A family member remains at the client's bedside 24 hr. each day
d. An assistive personnel is encouraging intake of oral fluids
: a. Benzodiazepines are administered every 4hr
16. A nurse is caring for a client who is in stage kidney disease the client has decided to stop
dialysis treatment which of the following actions should the nurse take?
: Support the client's decision and stop the treatment
17. A nurse is administering pancreatic enzymes to a child who has cystic fibrosis. Which of
the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- Reduced fat in the stools
- Improved respiratory function
- Decreased sodium excretion
1. A nurse is reviewing information about advance directives with a newly admitted client.
Which of the following statements by the client indicates an understanding of the
information?
: c. Advance directives include a living well
2. A nurse on a medical surgical unit is assisting with the admission of a client who has
advanced lung cancer. Which of the following actions regarding advance directives should
the nurse take?
: b. Document the client's decision about end-of-life care in the medical record
3. A nurse is reinforcing teaching with a client about advance directives and a healthcare
proxy which of the following client statements and the kids and understanding of the
teaching
: c. I do not need to name a relative as my designee in my health care proxy
4. A nurse is reinforcing teaching about advance directives with a client who has end-stage
heart failure. Which of the following statements by the client indicates an understanding of
the teaching?
:"I know I can change my advance directives if I need to in the future."
5. A nurse is caring for a client who speaks a different language than the nurse. Which of
the following actions should the nurse take?
: Supplement spoken language with pictures. Or review the facility policy about the use of an
interpreter
6. A nurse is caring for a client who speaks a different language than the nurse. The clients
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 consequences of leaving AMA to the client
: b. Request the services of an interpreter to determine the clients wishes
7. A nurse at long term care facility is reviewing the plan of care 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
c. Determine the circulation status
d. Instruct the client's family about purpose mitten restraint
: b. Assist the client with range of motion exercises of the hands
8. A nurse in an acute mental health facility is caring for an 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.
: b. Plan to remove the restraints as soon as the clients is calm
9. A nurse in a mental health facility receives a change of shift 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 4.5 kg weight loss in the past two months
,3. Client is receiving a PRN dose of haloperidol two hours ago for increased anxiety
4. Client will receive his first ECT treatment today
:1. A client placed in restraints for aggressive behavior
10. A nurse on a mental health unit is caring for 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.
: Check the client's status every hour.
11. A nurse is caring of a client who is confused and is trying to 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 following 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 rail
c. Contact the provide within 48 hr. to obtain a prescription for the restrain
d. Check that one finger will fit between the client's wrist and the restraints
: a. Remove the restraints from the client's wrists every 2 hr.
12. The nurse delegates a task to an AP and the AP refuses to complete the assigned task.
Which of the following actions should the nurse take?
: Report the AP to the risk manager
13. A nurse is preparing to delegate client care to an assistive personnel AP. Which of the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
, b. The client's length of facility stay
c. The client's age
d. The AP's job description
: d. The AP's job description
14. A nurse in a long-term care facility is delegating care for a group of clients for the
upcoming shift which of the following tasks the nurse delegate to assistive personnel (select
all that apply):
-Measure vital signs for a client who requires contact precaution,
-record urine output for a client who has a super pubic catheter, trees for a client who is receiving
radiation therapy to radiology
15. A nurse on a hospice unit is caring for a client who has cancer and is in the active phase
of dying. Which of the following findings requires intervention by the nurse?
a. Benzodiazepines are administered every 4hr
b. Supplemental oxygen in use
c. A family member remains at the client's bedside 24 hr. each day
d. An assistive personnel is encouraging intake of oral fluids
: a. Benzodiazepines are administered every 4hr
16. A nurse is caring for a client who is in stage kidney disease the client has decided to stop
dialysis treatment which of the following actions should the nurse take?
: Support the client's decision and stop the treatment
17. A nurse is administering pancreatic enzymes to a child who has cystic fibrosis. Which of
the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- Reduced fat in the stools
- Improved respiratory function
- Decreased sodium excretion
