ATI LPN FUNDAMENTALS RETAKE QUESTIONS BANK NEWEST
2023/2024 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a client who has chronic kidney disease. The kidneys regulate body fluids as
well as assisting with which of the following functions?
A.Regulation of acid-base balance
B. Reabsorption of nutrients for cellular growth
C. Regulation of body temperature
D. Secretion of hormones needed for growth - ANSWER-A. Regulation of acid-base balance
The nurse should identify that the kidneys assist with the regulation of acid-base balance in the
body by retaining bicarbonate as they excrete hydrogen ions.
A nurse is teaching a client about how to remove a soiled dressing. Which of the following
statements by the client indicates an understanding of the teaching?
A. "I'll wear nonsterile gloves."
B. "I'll use adhesive remover each time."
C. "I'll take my pain pill after I change the dressing."
D. "I'll fold the dressing with the soiled surface facing outward." - ANSWER-A. "I'll wear
nonsterile gloves."
Wearing gloves prevents the spread of microorganisms outside of the dressings and onto the
client's hands. The gloves the client uses can be clean and do not need to be sterile unless the
provider specifically prescribes sterile gloves for dressing changes.
A nurse is preparing to assist an older adult client with ambulation following bed rest for 3 days.
Which of the following actions should the nurse take to decrease the risk of a fall?
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A. Use a gait belt during ambulation
B. Ensure the client is wearing socks before ambulating
C. Instruct the client to sit on the edge of the bed for 15 sec before ambulating
D. Walk 2 ft behind the client during ambulation - ANSWER-A. Use a gait belt during ambulation
The nurse should use a gait belt to keep the client's center of gravity midline and decrease the
risk of a fall.
A nurse is performing eye irrigation for a client who was exposed to smoke and ash. Which of
the following actions should the nurse take?
A. Hold the irrigator 1.25 cm (0.5 in) above the eye
B. Direct the irrigation solution up toward the upper eyelid
C. Exert pressure on the bony prominences when holding the eyelids open
D. Direct the irrigation from the outer canthus to the inner canthus of the eye - ANSWER-C.
Exert pressure on the bony prominences when holding the eyelids open
The nurse should hold the upper lid against the eyebrow and the lower lid against the
cheekbone when irrigating the eye.
A nurse is caring for an adult client who communicates an unmet spiritual need. Which of the
following client statements should indicate to the nurse that the client is experiencing spiritual
distress?
A. "Life has its ups and downs."
B. "I believe that I control my own destiny."
C. "God is punishing me for something."
D. "I like to keep my rosary beads in bed with me." - ANSWER-C. "God is punishing me for
something."
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Spiritual distress is an impaired ability to integrate meaning and purpose in life through various
means, including belief systems and relationships. Manifestations of spiritual distress can
include a feeling that a higher power is punishing the individual for some behavior.
A nurse is using the Braden scale to predict the pressure ulcer risk of a client in a long-term care
facility. Using this scale, which of the following parameters should the nurse evaluate?
A. Incontinence
B. Mental state
C. Nutrition
D. General physical condition - ANSWER-C. Nutrition
Nutrition, sensory perception, moisture, activity, mobility, and friction and shear are the
parameters on the Braden scale for determining a client's risk of developing pressure ulcers.
A nurse is administering an IM injection to a 5-month-old infant. Which of the following
injection sites should the nurse use?
A. Deltoid
B. Ventrogluteal
C. Vastus lateralis
D. Dorsogluteal - ANSWER-C. Vastus lateralis
The nurse should use the vastus lateralis site over the anterior thigh for IM injections for infants
and children.
A nurse is assisting a client who has right-sided weakness while ambulating using a cane. Which
of the following client actions should indicate to the nurse that the client understands the
procedure of cane walking?
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A. The client holds the cane on the affected side.
B. The client advances the unaffected leg followed by the cane.
C. The client supports this weight on the unaffected leg when moving the cane forward.
D. The client keeps 2 points of support on the ground. - ANSWER-D. The client keeps 2 points of
support on the ground.
When ambulating with a cane, the client should keep 2 points of support on the ground at all
times.
A nurse on a medical-surgical unit is washing her hands prior to assisting with a surgical
procedure. Which of the following actions by the nurse demonstrates proper surgical
handwashing technique?
A. The nurse washes each part of her hands with 5 strokes.
B. The nurse washes from the elbows down to her hands.
C. The nurse holds her hands higher than her elbows while washing.
D. The nurse uses minimal friction when washing her hands. - ANSWER-C. The nurse holds her
hands higher than her elbows while washing.
The nurse who is performing a surgical handwashing technique should wash while holding her
hands higher than the elbows so that water and soapsuds can drain away from the clean area
toward the dirty area.
A nurse is supervising a newly licensed nurse who is suctioning a client's tracheostomy. Which
of the following actions by the newly licensed nurse indicates an understanding of the
procedure?
A. Using clean technique to perform the procedure.
B. Applying suction while inserting the catheter.
C. Lubricating the suction catheter with an oil-based lubricating jelly.