PN ATI Capstone Fundamentals Quiz

Questions 48

ATI LPN

ATI LPN Test Bank

PN ATI Capstone Fundamentals Quiz Questions

Question 1 of 5

A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound. Which of the following actions should the nurse take to prevent contamination during the dressing change?

Correct Answer: B

Rationale: If liquid comes in contact with the sterile field at any point, it is considered contaminated and unsterile, necessitating the restart of the procedure.

Question 2 of 5

A nurse receives a report from an assistive personnel that a client's BP is 160/95. What should the nurse do first?

Correct Answer: B

Rationale: The nurse should first reassess the client's BP to confirm the reading before taking any further action.

Question 3 of 5

A nurse is caring for a client who reports burning around the peripheral IV site. Which finding should the nurse identify as a manifestation of infiltration?

Correct Answer: C

Rationale: Edema at the IV site indicates that IV solution has leaked into the extravascular tissue, which is a sign of infiltration.

Question 4 of 5

A nurse in a provider's office is assessing the motor skill development of a 15-month-old toddler during a well-child visit. What gross motor skills should the nurse expect?

Correct Answer: A

Rationale: At 15 months, toddlers typically walk independently but may do so with a wide stance for balance.

Question 5 of 5

A nurse finds a client on the floor of their room experiencing a seizure. Which of the following actions is the nurse's priority?

Correct Answer: A

Rationale: Placing the client on their side with their head forward helps maintain an open airway and prevents aspiration.

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