Ati proctored- nur101 LPN | Certified 2025/2026 Practice
Exam Pack: Verified Questions & Expert-Approved Answers
A nurse is caring for a client who is post operative. Which of the following non
pharmacological interventions should the nurse use to promote bowel elimination for
this client?
A) increase ambulation
B) decrease fluid intake
C) administer a laxatives
D) offer bed pan every 2 hours - correct answer increase ambulation
A nurse completes the i & o record for a client who consumed breakfast and lunch as
follows: 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit flavored
gelatin, 1/2 cup of chicken broth, 300 ml of 0.9 % sodium chloride iv output 460 ml of
urine, 90 ml of drainage from the suction drainage system? What should the nurse
document as the clients intake? - correct answer 1140 ml
A nurse is implementing strict i & o on a client. The client's output for the past 12 hours
includes the following: jackson-pratt drain 35 ml, ng suction 120 ml, incontinence
weighing 240 g, 275 g, 310 g and 270 g. Incontinence pad dry weight 90 g. What is the
total output for the past 12 hours. - correct answer 890 ml
A nurse unit is notified that iv pumps available for use are limited due to a high censes
in the hospital. The nurse should use one of the available pumps for which of the
following clients receiving iv therapy?
A) a client who has diabetic ketoacidosis who is receiving iv insulin
B) a client who has bronchial pneumonia who is receiving cefuroxime iv
C) a client who has a fractured left femur who is receiving lr solution iv
D) a client who has acute alcohol withdrawal who is receiving thiamine iv - correct
answer a) a client who has diabetic ketoacidosis who is receiving iv insulin
,A nurse begins the shift caring for a client who has just returned from the recovery room
after surgery. It is most important to document:
A) at the end of the shift so that the nurse can give his full attention and time to the
patients needs during the shift
B) a nursing care plan in the chart before assessing the patient so that the nurse can
identify priorities.
C) at least three times during the shift: at the beginning, in the middle, and at the end,
and as needed
D) an initial assessment of the patient and a plan based on the needs of the patient as
assessed at the beginning of the shift. - correct answer d) an initial assessment of the
patient and a plan based on the needs of the patient as assessed at the beginning of
the shift.
A client who had abdominal surgery 24 hours ago suddenly reports a pulling sensation
and pain at his surgical incision. The nurse checks the client's surgical wound and finds
and evisceration. Which of the following interventions is appropriate?
A) have the client lie flat in bed
B) use sterile gauze to place pressure on the organs
C) cover the area with saline soaked sterile dressings
D) apply an abdominal binder - correct answer c) cover the area with saline soaked
sterile guaze
A nurse is caring for a client who has a fractured hip and is post op open reduction and
internal fixation. The client has a closed suction drain extending out of the wound. The
nurse recognized that the purpose of this device is to?
A) prevent fluid from accumulating in the wound
B) eliminate pain from the surgical site
C) prevent the development of a wound infection
,D) eliminate the need for wound irrigations. - correct answer a) prevent fluid from
accumulating in the wound
A night nurse is caring for a client who is confused and has pulled the peripheral iv
catheter out 3 times. Which of the following should the nurse consider?
A) administer a mild sedative
B) place mitten restraint's on the client's hands
C) reorient ate the client to time place and person
D) move client close to nurse station - correct answer place mitten restraint's on the
client's hands
A nurse manager is discussing the differences between normal and maladaptive grief
with nursing staff. Which of the nurse manager identify as being unique to the
maladaptive grieving process?
A) anorexia
B) sleep disturbances
C) anergia
D) low self esteem - correct answer d) low self esteem
A client states, "why do i feel relief now that my dad is gone". Which of the following is
the best response for the nurse to give?
A) do you feel guilty
B) tell me what you are thinking?
C) you are in denial about your dads death
D) your dad is not suffering anymore - correct answer b) tell me what you are thinking?
A client arrives at an urgent care center with a laceration of his forearm. The nurse
cleanses the wound and the provider sutures it. The nurse applies a sterile dressing,
, administers a tetanus immunization and gives the client instructions on caring for the
wound and returning for suture removal. Which of the following interventions is an
example of primary prevention
A) wound sutures
B) sterile dressing application
C) tetanus immunization
D) instructions for follow up care - correct answer c) tetanus immunization
A nurse is caring for a client receiving iv dextrose 5% in 0.9 % sodium chloride at 75 ml\
hour. When the nurse checks the clients iv bag at 0700 there are 300 ml remaining in
the bag. At what time does the nurse anticipate needing to hang a new bag of d5ns?
A) 0900
B) 1000
C) 1100
D) 1200 - correct answer 11:00 am
A nurse in a clinic is preparing to administer pre-k immunizations to a 5 year old child.
The child's immunizations are current. Which of the following immunizations should the
nurse administer to the client at this visit?
A) mmr
B) hib
C) pcv
D) hep b - correct answer a) mmr
A nurse is assisting a client who is post op abdominal surgery with morning care and
identifies a loop of bowel through an opening in the surgical incision. After calling for
help which of the following actions should the nurse take first?
Exam Pack: Verified Questions & Expert-Approved Answers
A nurse is caring for a client who is post operative. Which of the following non
pharmacological interventions should the nurse use to promote bowel elimination for
this client?
A) increase ambulation
B) decrease fluid intake
C) administer a laxatives
D) offer bed pan every 2 hours - correct answer increase ambulation
A nurse completes the i & o record for a client who consumed breakfast and lunch as
follows: 4 oz of clear soda, 1 piece of toast, 12 oz of water, 1 cup of fruit flavored
gelatin, 1/2 cup of chicken broth, 300 ml of 0.9 % sodium chloride iv output 460 ml of
urine, 90 ml of drainage from the suction drainage system? What should the nurse
document as the clients intake? - correct answer 1140 ml
A nurse is implementing strict i & o on a client. The client's output for the past 12 hours
includes the following: jackson-pratt drain 35 ml, ng suction 120 ml, incontinence
weighing 240 g, 275 g, 310 g and 270 g. Incontinence pad dry weight 90 g. What is the
total output for the past 12 hours. - correct answer 890 ml
A nurse unit is notified that iv pumps available for use are limited due to a high censes
in the hospital. The nurse should use one of the available pumps for which of the
following clients receiving iv therapy?
A) a client who has diabetic ketoacidosis who is receiving iv insulin
B) a client who has bronchial pneumonia who is receiving cefuroxime iv
C) a client who has a fractured left femur who is receiving lr solution iv
D) a client who has acute alcohol withdrawal who is receiving thiamine iv - correct
answer a) a client who has diabetic ketoacidosis who is receiving iv insulin
,A nurse begins the shift caring for a client who has just returned from the recovery room
after surgery. It is most important to document:
A) at the end of the shift so that the nurse can give his full attention and time to the
patients needs during the shift
B) a nursing care plan in the chart before assessing the patient so that the nurse can
identify priorities.
C) at least three times during the shift: at the beginning, in the middle, and at the end,
and as needed
D) an initial assessment of the patient and a plan based on the needs of the patient as
assessed at the beginning of the shift. - correct answer d) an initial assessment of the
patient and a plan based on the needs of the patient as assessed at the beginning of
the shift.
A client who had abdominal surgery 24 hours ago suddenly reports a pulling sensation
and pain at his surgical incision. The nurse checks the client's surgical wound and finds
and evisceration. Which of the following interventions is appropriate?
A) have the client lie flat in bed
B) use sterile gauze to place pressure on the organs
C) cover the area with saline soaked sterile dressings
D) apply an abdominal binder - correct answer c) cover the area with saline soaked
sterile guaze
A nurse is caring for a client who has a fractured hip and is post op open reduction and
internal fixation. The client has a closed suction drain extending out of the wound. The
nurse recognized that the purpose of this device is to?
A) prevent fluid from accumulating in the wound
B) eliminate pain from the surgical site
C) prevent the development of a wound infection
,D) eliminate the need for wound irrigations. - correct answer a) prevent fluid from
accumulating in the wound
A night nurse is caring for a client who is confused and has pulled the peripheral iv
catheter out 3 times. Which of the following should the nurse consider?
A) administer a mild sedative
B) place mitten restraint's on the client's hands
C) reorient ate the client to time place and person
D) move client close to nurse station - correct answer place mitten restraint's on the
client's hands
A nurse manager is discussing the differences between normal and maladaptive grief
with nursing staff. Which of the nurse manager identify as being unique to the
maladaptive grieving process?
A) anorexia
B) sleep disturbances
C) anergia
D) low self esteem - correct answer d) low self esteem
A client states, "why do i feel relief now that my dad is gone". Which of the following is
the best response for the nurse to give?
A) do you feel guilty
B) tell me what you are thinking?
C) you are in denial about your dads death
D) your dad is not suffering anymore - correct answer b) tell me what you are thinking?
A client arrives at an urgent care center with a laceration of his forearm. The nurse
cleanses the wound and the provider sutures it. The nurse applies a sterile dressing,
, administers a tetanus immunization and gives the client instructions on caring for the
wound and returning for suture removal. Which of the following interventions is an
example of primary prevention
A) wound sutures
B) sterile dressing application
C) tetanus immunization
D) instructions for follow up care - correct answer c) tetanus immunization
A nurse is caring for a client receiving iv dextrose 5% in 0.9 % sodium chloride at 75 ml\
hour. When the nurse checks the clients iv bag at 0700 there are 300 ml remaining in
the bag. At what time does the nurse anticipate needing to hang a new bag of d5ns?
A) 0900
B) 1000
C) 1100
D) 1200 - correct answer 11:00 am
A nurse in a clinic is preparing to administer pre-k immunizations to a 5 year old child.
The child's immunizations are current. Which of the following immunizations should the
nurse administer to the client at this visit?
A) mmr
B) hib
C) pcv
D) hep b - correct answer a) mmr
A nurse is assisting a client who is post op abdominal surgery with morning care and
identifies a loop of bowel through an opening in the surgical incision. After calling for
help which of the following actions should the nurse take first?
